BRUCE D PETERSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044003847

License Status

INACTIVE

Business

First Name

BRUCE D

Last Name

PETERSON

Business Name

BRUCE D PETERSON

Original Issue Date

01/27/1990

Effective Date

12/01/2003

Expiration Date

11/30/2003

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

10/11/2005