KIEL S PEREGRIN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003515

License Status

EXPIRED

Business

First Name

KIEL

Middle

Last Name

PEREGRIN

Business Name

KIEL S PEREGRIN

Original Issue Date

07/20/2010

Effective Date

06/11/2010

Expiration Date

06/10/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018