DIANA L ROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015451

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

ROTH

Business Name

DIANA L ROTH

Original Issue Date

01/10/2017

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/11/2026