MAURITS JAN WIERSEMA MD - Medical Doctor License in Ohio | # 106000169

MAURITS JAN WIERSEMA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000169

License Status

EXPIRED

Business

N

First Name

MAURITS

Middle

JAN

Last Name

WIERSEMA

Suffix

MD

Business Name

MAURITS JAN WIERSEMA MD

Original Issue Date

09/10/2002

Effective Date

09/10/2002

Expiration Date

05/25/2003

State

OH

Ever Disciplined

N

LastModifiedDate

09/23/2006