License holder summary

PETRACCA-BARCLAY , MARYELLEN is a Department Of Health - X Ray Op In Md Office licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 02/08/1996 and expired on 07/31/2011.

Department of Health

Board of Medical Examiners

PETRACCA-BARCLAY , MARYELLEN
Department Of Health - X Ray Op In Md Office
License number
2490
Date granted
02/08/1996
Date expires
07/31/2011
Class
Department Of Health - X Ray Op In Md Office
Status
Expired
Address
medicaltn.com
ID 42439644
LAST UPDATED 2024-03-04 11:18:59 UTC

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