SUZANNE MARIE ROTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARIE

Last Name

ROTH

Business Name

SUZANNE MARIE ROTH

Original Issue Date

03/11/2004

Effective Date

03/11/2004

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008