SUSAN Y ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048807

License Status

NOT RENEWED

Business

First Name

SUSAN Y

Last Name

ROTH

Business Name

SUSAN Y ROTH

Original Issue Date

01/07/1980

Expiration Date

01/31/1993

City

WINCHESTER

State

Zip

62694

County

SCOTT

Ever Disciplined

LastModifiedDate

10/21/2005