SUSAN R WIERSMA MD - Medical Doctor License in Wisconsin | # 036090395

SUSAN R WIERSMA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090395

License Status

NOT RENEWED

Business

N

First Name

SUSAN R

Last Name

WIERSMA

Suffix

MD

Business Name

SUSAN R WIERSMA MD

Original Issue Date

03/25/1995

Effective Date

03/25/1995

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

08/08/2014