Idaho
Division of Occupational and Professional Licenses
DUANE BRUCE MORTENSON
Board Of Medicine
License number
PA-1171
Date granted
06/13/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
120 EAST HOWARD AVENUE Driggs ID 83422
idaholicensing.com
ID 48359474
LAST UPDATED 2024-04-09 01:44:21 UTC
LAST UPDATED 2024-04-09 01:44:21 UTC
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