Indiana
Professional Licensing Agency
David Glen Mortenson
Controlled Substance Registration - Dentist
License number
12011594B
Date granted
04/25/2011
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2441 State Street, New Albany IN 47150
indianalicensing.org
ID 5115292
LAST UPDATED 2024-01-31 16:59:21 UTC
LAST UPDATED 2024-01-31 16:59:21 UTC
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