David Robert Mortensen Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019016961

Status

Expired (Not Renewed)

First issued

September 28, 1979

Expired

September 30, 2015

License holder

David Robert Mortensen Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/25/2012

Other Illinois licenses under this name

• IL
  David Robert Mortensen Dmd

  License 31*****15

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Park City, IL

  Expired Sep 30, 2015

Contact