The holder whose full name is Leestma, Micah James,come from Demotte IN,hold the CSR-Osteopathic Physician license(NO.02004123B) which status is Active.
| Name | Leestma, Micah James |
|---|---|
| License Number | 02004123B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Demotte |
| State | IN |