RONALD W ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156776

License Status

NOT RENEWED

Business

First Name

RONALD W

Last Name

ROTH

Business Name

RONALD W ROTH

Original Issue Date

09/11/1974

Effective Date

09/11/1974

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006