COURTNEY L ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343364

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

Last Name

ROTH

Business Name

COURTNEY L ROTH

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2008