JEAN W ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107965

License Status

INACTIVE

Business

First Name

JEAN W

Last Name

ROTH

Business Name

JEAN W ROTH

Original Issue Date

11/13/1963

Effective Date

04/18/2014

Expiration Date

05/31/2016

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/16/2016