ANN K BUIKEMA WIARDA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097234

License Status

INACTIVE

Business

First Name

ANN

Middle

Last Name

BUIKEMA WIARDA

Suffix

Business Name

ANN K BUIKEMA WIARDA MD

Original Issue Date

01/29/1998

Effective Date

01/29/1998

Expiration Date

07/31/2002

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006