SAMANTHA LYNN ROTH - Registered Nurse License in Indiana | # 041507802

SAMANTHA LYNN ROTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041507802

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

LYNN

Last Name

ROTH

Business Name

SAMANTHA LYNN ROTH

Original Issue Date

04/01/2021

Effective Date

04/01/2021

Expiration Date

08/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2022