License holder summary

Phillip Lee Mickelsen is a Medical - Physician licensed to practice in Colorado. The address on file for Phillip Lee Mickelsen is 1120 Martinelli Dr., Gallup, NM, 87301-7301. This licensed professional license is not current. The license was granted 12/08/2009 and expired on 05/31/2011.

Colorado

Division of Professions and Occupations

Phillip Lee Mickelsen
Medical - Physician
License number
48403
Date granted
12/08/2009
Date expires
05/31/2011
Class
Medical - Physician
Status
Expired
Address
1120 Martinelli Dr., Gallup, NM, 87301-7301
coloradolicensing.org
ID 27444398
LAST UPDATED 2024-01-29 15:27:12 UTC

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