MELISSA M PETTERSON - Nursing Home Administrator License in Illinois | # 045004124

MELISSA M PETTERSON

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004124

License Status

EXPIRED

Business

N

First Name

MELISSA

Middle

M

Last Name

PETTERSON

Business Name

MELISSA M PETTERSON

Original Issue Date

08/30/2018

Effective Date

08/29/2019

Expiration Date

08/29/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020