CHARLOTTE A ROTH - Nursing Home Administrator License in Illinois | # 045001462

CHARLOTTE A ROTH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001462

License Status

NOT RENEWED

Business

N

First Name

CHARLOTTE A

Last Name

ROTH

Business Name

CHARLOTTE A ROTH

Original Issue Date

03/05/1987

Expiration Date

02/18/1988

State

IL

Ever Disciplined

N

LastModifiedDate

05/31/2005