STACY MARIE ROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012055

License Status

ACTIVE

Business

First Name

STACY

Middle

MARIE

Last Name

ROTH

Business Name

STACY MARIE ROTH

Original Issue Date

10/17/2014

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

03/02/2026