The holder whose full name is Kooistra, Michael,come from Auburn IN,hold the Medical Residency Permit license(NO.11007421A) which status is Expired.
| Name | Kooistra, Michael |
|---|---|
| License Number | 11007421A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Auburn |
| State | IN |