KAREN SUE PETYKO Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010145

License Status

INACTIVE

Business

First Name

KAREN

Middle

SUE

Last Name

PETYKO

Business Name

KAREN SUE PETYKO

Original Issue Date

11/13/2006

Effective Date

11/25/2013

Expiration Date

11/30/2015

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/04/2015