License holder summary

Dr. WAYNE Marcus MORTENSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. WAYNE Marcus MORTENSEN is 115 W. Main Street Boise ID 83702. This licensed professional license is current. The license was granted 06/19/2013 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. WAYNE Marcus MORTENSEN
Board Of Medicine
License number
M-12065
Date granted
06/19/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
115 W. Main Street Boise ID 83702
idaholicensing.com
ID 48359472
LAST UPDATED 2024-03-30 21:29:09 UTC

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