ANN SULLIVAN ROTH - Registered Nurse License in Illinois | # 041169564

ANN SULLIVAN ROTH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169564

License Status

INACTIVE

Business

N

First Name

ANN SULLIVAN

Last Name

ROTH

Business Name

ANN SULLIVAN ROTH

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006