David Glen Mortenson
Controlled Substance Registration - Dentist
Indiana 12011594B Expired
This Indiana license was held by David Glen Mortenson. The license is no longer active. It was granted on 04/25/2011 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12011594B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/25/2011 (about 15 years ago)
- Expiry Date: 03/01/2014 (over 12 years ago)
LOCATIONS
A Address
2441 State Street, New Albany IN 47150