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
LAST UPDATED 2024-04-21 15:06:39 UTC
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