License holder summary

Kevin Scott Mickelson is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kevin Scott Mickelson is 134 Prairiewood Dr, Fargo, ND 58103. This doctor license is not current. The license was granted 03/09/1985 and expired on 12/31/1988.

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 2024-03-24 20:56:50 UTC

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