LORRIE MAYNARD ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319306

License Status

NOT RENEWED

Business

First Name

LORRIE

Middle

MAYNARD

Last Name

ROTH

Business Name

LORRIE MAYNARD ROTH

Original Issue Date

04/26/2000

Effective Date

04/21/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012