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 2026-05-26 04:32:18 UTC
LAST UPDATED 2026-05-26 04:32:18 UTC
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