CAROLYN K ROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000155

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

Last Name

ROTH

Business Name

CAROLYN K ROTH

Original Issue Date

04/23/2001

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026