GARY W ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041275179

License Status

NOT RENEWED

Business

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

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/27/2006