GARY W ROTH - Registered Nurse License in Illinois | # 041275179

GARY W ROTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041275179

License Status

NOT RENEWED

Business

N

First Name

GARY W

Last Name

ROTH

Business Name

GARY W ROTH

Original Issue Date

09/03/1993

Effective Date

09/03/1993

Expiration Date

05/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006