Indra S Oetomo
ActiveMichigan license 5501300635
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5501300635
- Status
- Active
- First issued
- March 13, 1987
- Expires
- March 13, 2028
- License holder
- Indra S Oetomo
- Entity type
- Individual
Classifications
- Physical Therapist Therapy & Rehabilitation