CHRISTIE E ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185013

License Status

INACTIVE

Business

First Name

CHRISTIE E

Last Name

ROTH

Business Name

CHRISTIE E ROTH

Original Issue Date

10/16/1978

Effective Date

05/02/2016

Expiration Date

05/31/2018

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/06/2018