NEAL R MORTENSEN - Podiatrist License in Illinois | # 135000195

NEAL R MORTENSEN

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000195

License Status

EXPIRED

Business

N

First Name

NEAL R

Last Name

MORTENSEN

Business Name

NEAL R MORTENSEN

Original Issue Date

10/12/1993

Effective Date

10/12/1993

Expiration Date

06/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006