Philip Logan Mickinac
ActiveCalifornia license 95278266
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95278266
- Status
- Active (Current)
- First issued
- March 16, 2022
- Expires
- June 30, 2027
- License holder
- Philip Logan Mickinac
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2110 Thousand Trails Blvd
Box 247
Clermont, FL 34714
Box 247
Clermont, FL 34714