Wisconsin
Department of Safety and Professional Services
Mickelson, Staareze H
Licensed Practical Nurse
License number
306062-31
Date granted
09/12/2005
Date expires
04/30/2011
Class
Licensed Practical Nurse
Status
Revoked
nursingwisconsin.org
ID 13149009
LAST UPDATED 2024-03-16 05:17:50 UTC
LAST UPDATED 2024-03-16 05:17:50 UTC
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