ROSE MAE PETTIFER Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044000925

License Status

INACTIVE

Business

First Name

ROSE MAE

Last Name

PETTIFER

Business Name

ROSE MAE PETTIFER

Original Issue Date

12/06/1972

Expiration Date

11/30/1985

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/27/2005