License holder summary

Ann K. Buikema Wiarda is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ann K. Buikema Wiarda is MICHIANA EYE CENTER, 230 E DAY RD STE 100, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 07/30/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Ann K. Buikema Wiarda
Controlled Substance Registration - Physician
License number
01047556C
Date granted
07/30/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MICHIANA EYE CENTER, 230 E DAY RD STE 100, Mishawaka IN 46545
indianalicensing.org
ID 5894526
LAST UPDATED 2024-04-21 15:06:39 UTC

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