SUSAN RENEE ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179130

License Status

NOT RENEWED

Business

First Name

SUSAN RENEE

Last Name

ROTH

Business Name

SUSAN RENEE ROTH

Original Issue Date

01/10/1978

Effective Date

01/10/1978

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006