JACQUELYNE ALTMA PETRIE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044001303

License Status

NOT RENEWED

Business

First Name

JACQUELYNE ALTMA

Last Name

PETRIE

Business Name

JACQUELYNE ALTMA PETRIE

Original Issue Date

06/03/1975

Expiration Date

11/30/1987

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005