MABEL W ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111347

License Status

INACTIVE

Business

First Name

MABEL W

Last Name

ROTH

Business Name

MABEL W ROTH

Original Issue Date

10/26/1964

Effective Date

10/26/1964

Expiration Date

05/31/1988

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006