Indiana
Professional Licensing Agency
Owen Wayne Mortenson
Controlled Substance Registration - Dentist
License number
12011303B
Date granted
06/02/2009
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Mortenson Family Dental, 2917 East 10th Street Hwy 62, Jeffersonville IN 47130
indianalicensing.org
ID 5105491
LAST UPDATED 2024-04-19 01:10:58 UTC
LAST UPDATED 2024-04-19 01:10:58 UTC
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