JUDITH ANN ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041154104

License Status

NOT RENEWED

Business

First Name

JUDITH ANN

Last Name

ROTH

Business Name

JUDITH ANN ROTH

Original Issue Date

03/22/1974

Effective Date

04/04/2014

Expiration Date

05/31/2016

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016