CAROLYN K ROTH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INOPERATIVE

Business

First Name

CAROLYN

Middle

Last Name

ROTH

Business Name

CAROLYN K ROTH

Original Issue Date

08/21/2017

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/08/2020