LISA J MICKELSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276505

License Status

NOT RENEWED

Business

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

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014