Pieter Wiersema
Controlled Substance Registration - Physician
Indiana 01030601B Expired
This Indiana license was held by Pieter Wiersema. The license is no longer active. It was granted on 11/01/1980 and expired on 11/30/1985
LICENSE DETAILS
- License Number: 01030601B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/01/1980 (almost 46 years ago)
- Expiry Date: 11/30/1985 (over 40 years ago)
LOCATIONS
A Address
205 WAYNETOWN ROAD, CRAWFORDSVILLE IN 47933