License holder summary

WENDY JOANN MORTENSON is a Board Of Medicine licensed to practice in Idaho. The address on file for WENDY JOANN MORTENSON is 1467 FALCON DRIVE APT 6 IDAHO FALLS ID 83406. This licensed professional license is not current. The license was granted 02/19/2004 and expired on 08/01/2012.

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

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