MICHAEL ANTHONY PETTINATI - Nursing Home Administrator License in Illinois | # 044010474

MICHAEL ANTHONY PETTINATI

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010474

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

ANTHONY

Last Name

PETTINATI

Business Name

MICHAEL ANTHONY PETTINATI

Original Issue Date

05/19/2009

Effective Date

09/08/2009

Expiration Date

11/30/2011

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/05/2012