JEFFREY WILLIAM PETERSEN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010572

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

WILLIAM

Last Name

PETERSEN

Business Name

JEFFREY WILLIAM PETERSEN

Original Issue Date

03/02/2010

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/11/2025