ROBERT A PETTY Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010844

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

PETTY

Business Name

ROBERT A PETTY

Original Issue Date

04/19/2012

Effective Date

11/13/2025

Expiration Date

11/30/2027

City

CROWN POINT

State

Zip

46307

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

11/13/2025