The holder whose full name is PRUVENOK, MARY MARLENE,come from GARY IN,hold the Registered Nurse license(NO.28012066A) which status is Expired.
| Name | PRUVENOK, MARY MARLENE |
|---|---|
| License Number | 28012066A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | GARY |
| State | IN |