License holder summary

SUSAN MIKKELSEN is a Medical - Physician In A Residency Program licensed to practice in Alaska. The address on file for SUSAN MIKKELSEN is 1911 ROSELAWN AVENUE ROSEVILLE MN 55113. This licensed professional license is current. The license was granted 09/03/2000 and expired on 09/30/2000.

Alaska

Division of Corporations, Business and Professional Licensing

SUSAN MIKKELSEN
Medical - Physician In A Residency Program
License number
1602
Date granted
09/03/2000
Date expires
09/30/2000
Class
Medical - Physician In A Residency Program
Status
Licensed
Address
1911 ROSELAWN AVENUE ROSEVILLE MN 55113
alaskalicensing.com
ID 20453230
LAST UPDATED 2024-05-13 15:55:54 UTC

This website is unaffiliated with the Division of Corporations, Business and Professional Licensing. Please verify all information directly with the relevant official government authority.

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