MELISSA M PETTERSON Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004124

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

PETTERSON

Business Name

MELISSA M PETTERSON

Original Issue Date

08/30/2018

Effective Date

08/29/2019

Expiration Date

08/29/2020

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/19/2020