CAROLYN K ROTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

Last Name

ROTH

Business Name

CAROLYN K ROTH

Original Issue Date

05/04/2001

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026