Indiana
Professional Licensing Agency
LELAND J MORTENSON
Physician
License number
01013761A
Date granted
08/28/1941
Date expires
06/30/1987
Class
Physician
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46807
indianalicensing.org
ID 6053455
LAST UPDATED 2024-04-09 00:40:20 UTC
LAST UPDATED 2024-04-09 00:40:20 UTC
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