License Directory

Rustan J Wiersma Md

Inactive

Illinois license 036054021

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036054021
Status
Inactive
First issued
December 14, 1976
Expired
July 31, 2005
License holder
Rustan J Wiersma Md
Entity type
Individual

Classifications

More from the license record

Current term began
12/14/1976

Other Illinois licenses under this name

  • IL
    Rustan J Wiersma Md
    License 33*****07
    Licensed Physician Controlled Substance (Medical Board)
    Inactive
    Lagrange Park, IL
    Expired Sep 1, 1982

Contact

Lacrosse, WI 54601
Wisconsin County