ROTH O OWEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179591

License Status

NOT RENEWED

Business

First Name

ROTH O

Last Name

OWEN

Business Name

ROTH O OWEN

Original Issue Date

03/08/1978

Effective Date

03/08/1978

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006