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