LISA MARIE MORTENSEN DVM Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****42

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

MORTENSEN

Suffix

DVM

Business Name

LISA MARIE MORTENSEN DVM

Original Issue Date

07/19/2010

Effective Date

12/18/2014

Expiration Date

01/31/2017

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017