Department of Safety and Professional Services
Board of Medical Practice
Kevin Scott Mickelson
Medical - Physician And Surgeon
License number
29147
Date granted
03/09/1985
Date expires
12/31/1988
Class
Medical - Physician And Surgeon
Status
Canceled
Address
134 Prairiewood Dr, Fargo, ND 58103
doctorsminnesota.org
ID 22259376
LAST UPDATED 2024-04-18 08:04:46 UTC
LAST UPDATED 2024-04-18 08:04:46 UTC
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