COURTNEY J MICKELSON

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****98

ACTIVE

N

COURTNEY

J

MICKELSON

COURTNEY J MICKELSON

03/05/2002

02/25/2026

03/01/2028

SCHAUMBURG

IL

60194

COOK

II III IV V

N

02/25/2026