MONICA MAUREEN MORTENSEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111969

License Status

INACTIVE

Business

First Name

MONICA

Middle

MAUREEN

Last Name

MORTENSEN

Suffix

Business Name

MONICA MAUREEN MORTENSEN DO

Original Issue Date

07/28/2004

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

ORLANDO

State

Zip

32827

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/05/2020