JEFFREY L PETTERSSON - Nursing Home Administrator License in Illinois | # 045002288

JEFFREY L PETTERSSON

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002288

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

L

Last Name

PETTERSSON

Business Name

JEFFREY L PETTERSSON

Original Issue Date

01/21/1995

Expiration Date

12/20/1995

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005