MIKELSON MOMPREMIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166018

License Status

ACTIVE

Business

Title

First Name

MIKELSON

Last Name

MOMPREMIER

Business Name

MIKELSON MOMPREMIER MD

Original Issue Date

07/20/2023

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

DESOTO

State

Zip

75115

Ever Disciplined

LastModifiedDate

07/20/2023