The holder whose full name is PETERSON, ILA MARIE,come from LEAWOOD KS,hold the Physician license(NO.01034448A) which status is Expired Non-Renewable.
| Name | PETERSON, ILA MARIE |
|---|---|
| License Number | 01034448A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LEAWOOD |
| State | KS |