License holder summary

SUSAN MICKEL is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for SUSAN MICKEL is FARMINGTON NM 87401. This medical practitioner license is not current. The license was granted 05/31/1995 and expired on 12/31/1998.

Department of State

Board of Medicine

SUSAN MICKEL
Medical Physician And Surgeon
License number
MD055961L
Date granted
05/31/1995
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
FARMINGTON NM 87401
medicinepa.com
ID 37646650
LAST UPDATED 2024-05-16 12:50:58 UTC

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