THEODORE LAWRENC WIERSMA DDS - Dentist License in Pennsylvania | # 019011773

THEODORE LAWRENC WIERSMA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011773

License Status

NOT RENEWED

Business

N

First Name

THEODORE LAWRENC

Last Name

WIERSMA

Suffix

DDS

Business Name

THEODORE LAWRENC WIERSMA DDS

Original Issue Date

08/08/1960

Effective Date

08/08/1960

Expiration Date

09/30/1984

State

PA

Ever Disciplined

N

LastModifiedDate

10/12/2005