REBECCA A RIEDSTRA Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002953

License Status

EXPIRED

Business

First Name

REBECCA

Middle

Last Name

RIEDSTRA

Business Name

REBECCA A RIEDSTRA

Original Issue Date

06/13/2003

Effective Date

09/23/2004

Expiration Date

06/13/2004

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/04/2018