License holder summary

MORTENSEN, CHARLES E, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MORTENSEN, CHARLES E, MD is 4502 NE PHEASANT WAY, LAWTON 73507. This doctor license is current. The license was granted 02/13/1980 and expired on 04/30/2017.

Georgia

Composite Medical Board

MORTENSEN, CHARLES E, MD
Medical - Physician
License number
021263
Date granted
02/13/1980
Date expires
04/30/2017
Class
Medical - Physician
Status
Active
Address
4502 NE PHEASANT WAY
georgiadoctors.net
ID 38067097
LAST UPDATED 2024-05-13 06:46:30 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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