The holder whose full name is Wiersema, Brent Michael,come from Indianapolis IN,hold the Osteopathic Physician license(NO.02002771A) which status is Expired Non-Renewable.
| Name | Wiersema, Brent Michael |
|---|---|
| License Number | 02002771A |
| License Type | Osteopathic Physician |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |