MARY J PETRUSKA-NORDMANN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105210

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PETRUSKA-NORDMANN

Business Name

MARY J PETRUSKA-NORDMANN

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

07/31/2002

City

WEBSTER GROVE

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/03/2006