License holder summary

Micah James Leestma is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Micah James Leestma is Leestma Medical Clinic, 519 N Halleck Street Box 850, Demotte IN 46310. This licensed professional license is current. The license was granted 01/07/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Micah James Leestma
Controlled Substance Registration-Osteopathic Physician
License number
02004123B
Date granted
01/07/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Leestma Medical Clinic, 519 N Halleck Street Box 850, Demotte IN 46310
indianalicensing.org
ID 5798148
LAST UPDATED 2024-04-24 18:26:48 UTC

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