KEVIN MICKLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031979

License Status

ACTIVE

Business

First Name

KEVIN

Last Name

MICKLE

Business Name

KEVIN MICKLE

Original Issue Date

03/19/2025

Effective Date

03/19/2025

Expiration Date

05/31/2026

City

BROCKPORT

State

Zip

14420

Ever Disciplined

LastModifiedDate

03/02/2026