ANN K BUIKEMA WIARDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032743

License Status

EXPIRED

Business

First Name

ANN

Middle

Last Name

BUIKEMA WIARDA

Suffix

Business Name

ANN K BUIKEMA WIARDA MD

Original Issue Date

05/25/1995

Effective Date

05/25/1995

Expiration Date

06/22/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006