JAMES D PETERSEN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001027

License Status

INACTIVE

Business

First Name

JAMES D

Last Name

PETERSEN

Business Name

JAMES D PETERSEN

Original Issue Date

06/20/1973

Expiration Date

11/30/1985

City

CUBA

State

Zip

61427

County

FULTON

Ever Disciplined

LastModifiedDate

05/27/2005