SUSAN MICKEL

Medical Physician And Surgeon

Pennsylvania  MD055961L   Inactive

This Pennsylvania license was held by SUSAN MICKEL. The license is no longer active. It was granted on 05/31/1995 and expired on 12/31/1998

LICENSE DETAILS

  • License Number: MD055961L
  • Category: Medical Physician and Surgeon
  • Status: Inactive
  • Date Granted: 05/31/1995 (almost 30 years ago)
  • Expiry Date: 12/31/1998 (over 26 years ago)

LOCATIONS

A Address

FARMINGTON NM 87401