Wisconsin
Department of Safety and Professional Services
Petersen, Keith J
Nursing Home Administrator
License number
1570-65
Date granted
04/21/1980
Date expires
07/01/1988
Class
Nursing Home Administrator
Status
Expired
wisconsinlicensing.org
ID 13222733
LAST UPDATED 2024-03-08 10:23:34 UTC
LAST UPDATED 2024-03-08 10:23:34 UTC
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