FRED MORTENSEN III DC - Medical Doctor License in Arizona | # 038003464

FRED MORTENSEN III DC

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003464

License Status

INACTIVE

Business

N

First Name

FRED

Last Name

MORTENSEN III

Suffix

DC

Business Name

FRED MORTENSEN III DC

Original Issue Date

11/14/1973

Effective Date

11/14/1973

Expiration Date

07/31/1990

State

AZ

Ever Disciplined

N

LastModifiedDate

09/21/2006