License holder summary

BRANDON CRAIG MICKELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for BRANDON CRAIG MICKELSEN is 465 Memorial Drive POCATELLO ID 83201. This licensed professional license is not current. The license was granted 05/10/2006.

Idaho

Division of Occupational and Professional Licenses

BRANDON CRAIG MICKELSEN
Board Of Medicine
License number
MRO-0878
Date granted
05/10/2006
Class
Board Of Medicine
Status
Upgraded
Address
465 Memorial Drive POCATELLO ID 83201
idaholicensing.com
ID 48354050
LAST UPDATED 2024-02-23 13:36:11 UTC

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