LESLIE A PEDTKE Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002242

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

PEDTKE

Business Name

LESLIE A PEDTKE

Original Issue Date

07/02/1994

Expiration Date

08/24/1995

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/31/2005