Indiana
Professional Licensing Agency
ERIC JON LEESTMA
Controlled Substance Registration-Osteopathic Physician
License number
02000641B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
P O BOX 850, 519 NORTH HALLECK, DEMOTTE IN 46310
indianalicensing.org
ID 5798138
LAST UPDATED 2024-04-25 01:17:42 UTC
LAST UPDATED 2024-04-25 01:17:42 UTC
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