SUZANNE MARIE ROTH - Advanced Practice Nurse License in Illinois | # 209005028

SUZANNE MARIE ROTH

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005028

License Status

NOT RENEWED

Business

N

First Name

SUZANNE

Middle

MARIE

Last Name

ROTH

Business Name

SUZANNE MARIE ROTH

Original Issue Date

02/24/2004

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008