Idaho
Division of Occupational and Professional Licenses
WENDY JOANN MORTENSON
Board Of Medicine
License number
LRT-1045
Date granted
02/19/2004
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
1467 FALCON DRIVE APT 6 IDAHO FALLS ID 83406
idaholicensing.com
ID 48359476
LAST UPDATED 2024-04-21 07:45:36 UTC
LAST UPDATED 2024-04-21 07:45:36 UTC
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