License holder summary

David Dolan Mortensen is a Optometric Legend Drug Certificate licensed to practice in Indiana. The address on file for David Dolan Mortensen is Crown Point IN 46307. This licensed professional license is not current. The license was granted 07/26/2006 and expired on 04/01/2012.

Indiana

Professional Licensing Agency

David Dolan Mortensen
Optometric Legend Drug Certificate
License number
18003429B
Date granted
07/26/2006
Date expires
04/01/2012
Class
Optometric Legend Drug Certificate
Status
Expired
Address
Crown Point IN 46307
indianalicensing.org
ID 8284350
LAST UPDATED 2024-05-05 05:46:23 UTC

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