Idaho
Division of Occupational and Professional Licenses
Dr. JOSEPH MYLAN MORTENSEN
Board Of Medicine
License number
M-11657
Date granted
05/21/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2129 W ASTONTE ST MERIDIAN ID 83646
idaholicensing.com
ID 48359471
LAST UPDATED 2024-05-08 03:14:05 UTC
LAST UPDATED 2024-05-08 03:14:05 UTC
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