GRACE M ROTH - Registered Nurse License in Illinois | # 041078936

GRACE M ROTH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041078936

License Status

INACTIVE

Business

N

First Name

GRACE M

Last Name

ROTH

Business Name

GRACE M ROTH

Original Issue Date

11/01/1954

Effective Date

11/01/1954

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006