PAULINE L ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041058978

License Status

NOT RENEWED

Business

First Name

PAULINE L

Last Name

ROTH

Business Name

PAULINE L ROTH

Original Issue Date

01/01/1997

Effective Date

05/21/2008

Expiration Date

05/31/2010

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

08/16/2010