The holder whose full name is PETRUSEK, MARY,come from FOREST PARK IL,hold the Registered Nurse license(NO.28051469A) which status is Expired.
| Name | PETRUSEK, MARY |
|---|---|
| License Number | 28051469A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | FOREST PARK |
| State | IL |