SHIRLEY ANN ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028284

License Status

INACTIVE

Business

First Name

SHIRLEY ANN

Last Name

ROTH

Business Name

SHIRLEY ANN ROTH

Original Issue Date

04/15/1971

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005