The holder whose full name is PETERSEN, PHYLLIS ANN,come from INDIANAPOLIS IN,hold the Registered Nurse license(NO.28028291A) which status is Expired.
| Name | PETERSEN, PHYLLIS ANN |
|---|---|
| License Number | 28028291A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |