IRVING GUSTAF PETERSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000249

License Status

NOT RENEWED

Business

First Name

IRVING GUSTAF

Last Name

PETERSON

Business Name

IRVING GUSTAF PETERSON

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005