TERRI J ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177657

License Status

NOT RENEWED

Business

First Name

TERRI J

Last Name

ROTH

Business Name

TERRI J ROTH

Original Issue Date

10/12/1977

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

10/14/2022