Phillip Lee Mickelsen
Medical - Physician
Colorado 48403 Expired
This Colorado license was held by Phillip Lee Mickelsen. The license is no longer active. It was granted on 12/08/2009 and expired on 05/31/2011
LICENSE DETAILS
- License Number: 48403
- Category: Physician
- Status: Expired
- Date Granted: 12/08/2009 (over 14 years ago)
- Expiry Date: 05/31/2011 (almost 13 years ago)
LOCATIONS
A Address
1120 Martinelli Dr., Gallup, NM, 87301-7301