TODD P MORTENSEN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010724

License Status

INACTIVE

Business

First Name

TODD

Middle

Last Name

MORTENSEN

Suffix

Business Name

TODD P MORTENSEN DC

Original Issue Date

07/03/2006

Effective Date

09/06/2011

Expiration Date

07/31/2014

City

ELKHORN

State

Zip

53121

Ever Disciplined

LastModifiedDate

04/08/2014