Nebraska
Board of Licensing
Roger Dean Petrik
Nursing Home Administration - Provisional Nursing Home Administrator
License number
354
Date granted
05/16/2007
Date expires
11/16/2007
Class
Nursing Home Administration - Provisional Nursing Home Administrator
Status
Licensed
Address
licensingnebraska.com
ID 49604568
LAST UPDATED 2026-05-27 18:06:05 UTC
LAST UPDATED 2026-05-27 18:06:05 UTC
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