License holder summary

Pieter Wiersema is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Pieter Wiersema is 205 WAYNETOWN ROAD, CRAWFORDSVILLE IN 47933. This licensed professional license is not current. The license was granted 11/01/1980 and expired on 11/30/1985.

Indiana

Professional Licensing Agency

Pieter Wiersema
Controlled Substance Registration - Physician
License number
01030601B
Date granted
11/01/1980
Date expires
11/30/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
205 WAYNETOWN ROAD, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840438
LAST UPDATED 2024-02-22 20:58:57 UTC

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