ANDREW ROBERT ROTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004943

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

ROBERT

Last Name

ROTH

Business Name

ANDREW ROBERT ROTH

Original Issue Date

12/12/2003

Effective Date

12/12/2003

Expiration Date

05/31/2006

City

SYLVANIA

State

Zip

43560

County

OHIO

Ever Disciplined

LastModifiedDate

06/09/2008