License holder summary

MORTENSEN, LARRY DEAN is a Medical - Orthotist licensed to practice in Georgia. The address on file for MORTENSEN, LARRY DEAN is 706 MIDDLE BROOKE CHASE, Canton 30115. This doctor license is not current. The license was granted 08/04/2006 and expired on 09/30/2012.

Georgia

Composite Medical Board

MORTENSEN, LARRY DEAN
Medical - Orthotist
License number
000005
Date granted
08/04/2006
Date expires
09/30/2012
Class
Medical - Orthotist
Status
Lapsed
Address
706 MIDDLE BROOKE CHASE
georgiadoctors.net
ID 38113563
LAST UPDATED 2024-02-24 19:13:52 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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