ANTHONY J PISTERZI Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010159

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

PISTERZI

Business Name

ANTHONY J PISTERZI

Original Issue Date

12/08/2006

Effective Date

09/07/2017

Expiration Date

11/30/2019

City

PLEASANT PRAIRIE

State

Zip

53158

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/23/2020