Theodore Lawrenc Wiersma Dds
ExpiredIllinois license 019011773
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011773
- Status
- Expired (Not Renewed)
- First issued
- August 8, 1960
- Expired
- September 30, 1984
- License holder
- Theodore Lawrenc Wiersma Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/08/1960
Contact
Broomall, PA 19008
Pennsylvania County