KATHY J PETERSEN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006294

License Status

ACTIVE

Business

First Name

KATHY

Middle

Last Name

PETERSEN

Business Name

KATHY J PETERSEN

Original Issue Date

05/24/2004

Effective Date

11/25/2025

Expiration Date

11/30/2027

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

11/25/2025