HOWARD E WIARDA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094709

License Status

ACTIVE

Business

First Name

HOWARD E

Last Name

WIARDA

Business Name

HOWARD E WIARDA

Original Issue Date

01/27/1997

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

GRANGER

State

Zip

46530

County

MACON

Ever Disciplined

LastModifiedDate

04/10/2023