SUZANNE MARIE ROTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005028

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008