BILLIE J MICKELSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041112697

License Status

INACTIVE

Business

First Name

BILLIE J

Last Name

MICKELSON

Business Name

BILLIE J MICKELSON

Original Issue Date

12/21/1964

Effective Date

12/21/1964

Expiration Date

05/31/2004

City

CHEYENNE

State

Zip

82003

County

WYOMING

Ever Disciplined

LastModifiedDate

10/09/2006