MITCHELL D MARTENSON Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044011411

License Status

ACTIVE

Business

First Name

MITCHELL

Middle

Last Name

MARTENSON

Business Name

MITCHELL D MARTENSON

Original Issue Date

12/09/2016

Effective Date

11/27/2025

Expiration Date

11/30/2027

City

SOUTH MILWAUKEE

State

Zip

53172

Ever Disciplined

LastModifiedDate

11/27/2025