MELINDA ROTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

NOT RENEWED

Business

First Name

MELINDA

Last Name

ROTH

Business Name

MELINDA ROTH

Original Issue Date

10/08/2013

Effective Date

04/28/2016

Expiration Date

05/31/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/19/2018