MARY EILEEN ROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034461

License Status

ACTIVE

Business

First Name

MARY

Middle

EILEEN

Last Name

ROTH

Business Name

MARY EILEEN ROTH

Original Issue Date

01/14/2026

Effective Date

01/14/2026

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026