Indiana
Professional Licensing Agency
Wesley Spencer Mortensen
Medical Residency Permit
License number
11012769A
Date granted
06/07/2005
Date expires
06/30/2006
Class
Medical Residency Permit
Status
Expired
Address
Muncie IN 47303
indianalicensing.org
ID 5991381
LAST UPDATED 2024-04-03 08:02:32 UTC
LAST UPDATED 2024-04-03 08:02:32 UTC
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