NEAL R MORTENSEN Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000195

License Status

EXPIRED

Business

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

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006