MELINDA ROTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010719

License Status

INACTIVE

Business

First Name

MELINDA

Last Name

ROTH

Business Name

MELINDA ROTH

Original Issue Date

09/13/2013

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

CORNELL

State

Zip

61319

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/13/2020