NEAL R MORTENSEN - Podiatrist License in Illinois | # 016004706

NEAL R MORTENSEN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004706

License Status

NOT RENEWED

Business

N

First Name

NEAL R

Last Name

MORTENSEN

Business Name

NEAL R MORTENSEN

Original Issue Date

08/05/1994

Effective Date

08/05/1994

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006