License holder summary

DENNIS MIKAL MICKELSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DENNIS MIKAL MICKELSON is 810 S 5TH W MISSOULA MT 59801. This licensed professional license is not current. The license was granted 05/14/2012 and expired on 03/31/2013.

Idaho

Division of Occupational and Professional Licenses

DENNIS MIKAL MICKELSON
Board Of Medicine
License number
RTS-477
Date granted
05/14/2012
Date expires
03/31/2013
Class
Board Of Medicine
Status
Expired
Address
810 S 5TH W MISSOULA MT 59801
idaholicensing.com
ID 48354055
LAST UPDATED 2024-03-15 10:04:42 UTC

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