CAROLYN K ROTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214748

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

Last Name

ROTH

Business Name

CAROLYN K ROTH

Original Issue Date

12/07/1982

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/28/2026