MONICA MAUREEN MORTENSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045419

License Status

EXPIRED

Business

First Name

MONICA

Middle

MAUREEN

Last Name

MORTENSEN

Suffix

Business Name

MONICA MAUREEN MORTENSEN DO

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

08/13/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006