License holder summary

BLAKE C MORTENSON is a Board Of Medicine licensed to practice in Idaho. The address on file for BLAKE C MORTENSON is 1786 E 1815 N Logan UT 84341. This licensed professional license is current. The license was granted 08/17/2001 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

BLAKE C MORTENSON
Board Of Medicine
License number
M-8275
Date granted
08/17/2001
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1786 E 1815 N Logan UT 84341
idaholicensing.com
ID 48359473
LAST UPDATED 2024-03-19 21:20:35 UTC

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