PAUL D SCHROTH 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

PAUL

Middle

Last Name

SCHROTH

Business Name

PAUL D SCHROTH

Original Issue Date

05/12/2016

Effective Date

05/12/2016

Expiration Date

05/31/2018

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/01/2018