CHARLOTTE A ROTH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045001462

License Status

NOT RENEWED

Business

First Name

CHARLOTTE A

Last Name

ROTH

Business Name

CHARLOTTE A ROTH

Original Issue Date

03/05/1987

Expiration Date

02/18/1988

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

05/31/2005