DIANNE L PETERSEN - Nursing Home Administrator License in Illinois | # 044003656

DIANNE L PETERSEN

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003656

License Status

INACTIVE

Business

N

First Name

DIANNE L

Last Name

PETERSEN

Business Name

DIANNE L PETERSEN

Original Issue Date

05/16/1989

Expiration Date

11/30/1997

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005