MICHELLE DAWN MICKELSEN
Idaho RTS-534 Upgraded
This Idaho license was held by MICHELLE DAWN MICKELSEN. The license is no longer active. It was granted on 01/15/2013
LICENSE DETAILS
- License Number: RTS-534
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 01/15/2013 (over 12 years ago)
LOCATIONS
A Residential
2543 N 4000 W REXBURG ID 83440