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 2026-05-31 03:19:45 UTC
LAST UPDATED 2026-05-31 03:19:45 UTC
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