David Robert Mortensen Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****15

Status

Expired (Not Renewed)

First issued

January 1, 1998

Expired

September 30, 2015

License holder

David Robert Mortensen Dmd

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

08/30/2012

Other Illinois licenses under this name

• IL
  David Robert Mortensen Dmd

  License 019016961

  Licensed Dentist (Dental)
  Expired

  Wadsworth, IL

  Expired Sep 30, 2015

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