MONICA MAUREEN MORTENSEN DO - Medical Doctor License in Florida | # 036111969

MONICA MAUREEN MORTENSEN DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111969

License Status

INACTIVE

Business

N

First Name

MONICA

Middle

MAUREEN

Last Name

MORTENSEN

Suffix

DO

Business Name

MONICA MAUREEN MORTENSEN DO

Original Issue Date

07/28/2004

Effective Date

07/18/2017

Expiration Date

09/30/2020

State

FL

Ever Disciplined

N

LastModifiedDate

04/05/2020