License holder summary

BLAKE C MORTENSON is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for BLAKE C MORTENSON is NORTH LOGAN, UT 843418805. This licensed professional license is current. The license was granted 12/18/2000 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

BLAKE C MORTENSON
Physician - Physician & Surgeon
License number
4837596-1205
Date granted
12/18/2000
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
NORTH LOGAN, UT 843418805
utahlicensing.org
ID 29919861
LAST UPDATED 2024-04-03 05:25:35 UTC

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