DONALD E PETERSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002594

License Status

INACTIVE

Business

First Name

DONALD E

Last Name

PETERSON

Business Name

DONALD E PETERSON

Original Issue Date

10/04/1982

Expiration Date

11/30/1987

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005