MARY ROSE ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169041

License Status

NOT RENEWED

Business

First Name

MARY ROSE

Last Name

ROTH

Business Name

MARY ROSE ROTH

Original Issue Date

11/01/1976

Effective Date

03/16/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012