The holder whose full name is PETERSEN, CLARICE BERTHA,come from La Porte IN,hold the Registered Nurse license(NO.28049279A) which status is Expired.
| Name | PETERSEN, CLARICE BERTHA |
|---|---|
| License Number | 28049279A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | La Porte |
| State | IN |