LISA J MICKELSON - Registered Nurse License in Indiana | # 041276505

LISA J MICKELSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276505

License Status

NOT RENEWED

Business

N

First Name

LISA J

Last Name

MICKELSON

Business Name

LISA J MICKELSON

Original Issue Date

10/13/1993

Effective Date

06/01/2012

Expiration Date

05/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

07/03/2014