JEFFREY WILLIAM PETERSEN - Nursing Home Administrator License in Illinois | # 045003424

JEFFREY WILLIAM PETERSEN

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003424

License Status

EXPIRED

Business

N

First Name

JEFFREY

Middle

WILLIAM

Last Name

PETERSEN

Business Name

JEFFREY WILLIAM PETERSEN

Original Issue Date

06/17/2009

Effective Date

06/17/2009

Expiration Date

06/17/2010

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018