License holder summary

Chad Ryan Wiersema is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Chad Ryan Wiersema is 934 Richard Road, Dyer IN 46311. This licensed professional license is current. The license was granted 07/28/2006 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Chad Ryan Wiersema
Controlled Substance Registration - Dentist
License number
12010886B
Date granted
07/28/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
934 Richard Road, Dyer IN 46311
indianalicensing.org
ID 5089906
LAST UPDATED 2024-04-12 21:30:17 UTC

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