BRETT STEVEN ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041418921

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

STEVEN

Last Name

ROTH

Business Name

BRETT STEVEN ROTH

Original Issue Date

03/14/2014

Effective Date

03/14/2014

Expiration Date

05/31/2016

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/11/2016