DIANE STEPHANIE MORTENSON DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003763

License Status

NOT RENEWED

Business

First Name

DIANE STEPHANIE

Last Name

MORTENSON

Suffix

Business Name

DIANE STEPHANIE MORTENSON DC

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

07/31/1987

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/21/2006