License holder summary

MICKELSEN CODY BRAD is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MICKELSEN CODY BRAD is W HENRIETTA NY. This doctor license is not current. The license was granted 02/22/2011.

New York

Office of the Professions

MICKELSEN CODY BRAD
Medicine (Physician, Including M Ds & D Os)
License number
260498
Date granted
02/22/2011
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
W HENRIETTA NY
nymedicine.org
ID 30221524
LAST UPDATED 2024-04-04 14:54:53 UTC

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