LESLIE A PEDTKE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004973

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

PEDTKE

Business Name

LESLIE A PEDTKE

Original Issue Date

09/13/1995

Effective Date

11/04/2019

Expiration Date

02/28/2022

City

ASHLEY

State

Zip

62808

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/27/2022