ETHEL M ROTH - Registered Nurse License in Illinois | # 041190636

ETHEL M ROTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190636

License Status

NOT RENEWED

Business

N

First Name

ETHEL

Middle

M

Last Name

ROTH

Business Name

ETHEL M ROTH

Original Issue Date

10/17/1979

Effective Date

03/24/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012