JENNIFER ROTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032103

License Status

INACTIVE

Business

First Name

JENNIFER

Last Name

ROTH

Business Name

JENNIFER ROTH

Original Issue Date

04/04/2025

Effective Date

04/04/2025

Expiration Date

05/31/2026

City

PERRYVILLE

State

Zip

63775

Ever Disciplined

LastModifiedDate

04/04/2025