Utah
Division of Occupational and Professional Licensing
LISA ANN MORTENSEN
Physical Therapist - Physical Therapist
License number
330350-2401
Date granted
12/08/2003
Date expires
05/31/2011
Class
Physical Therapist - Physical Therapist
Status
Expired
Address
MERIDIAN, ID 83646
utahlicensing.org
ID 29915829
LAST UPDATED 2024-03-11 08:10:17 UTC
LAST UPDATED 2024-03-11 08:10:17 UTC
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