MARK B PETERSON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002102

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

PETERSON

Business Name

MARK B PETERSON

Original Issue Date

07/21/1992

Expiration Date

07/20/1993

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/31/2005