ROBERT BOYD MICKELSEN II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150595

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

BOYD

Last Name

MICKELSEN

Suffix

Business Name

ROBERT BOYD MICKELSEN II MD

Original Issue Date

08/26/2019

Effective Date

08/26/2019

Expiration Date

09/30/2020

City

LONE TREE

State

Zip

80124

County

DOUGLAS

Ever Disciplined

LastModifiedDate

01/14/2021