BERTRICE R ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049345

License Status

NOT RENEWED

Business

First Name

BERTRICE R

Last Name

ROTH

Business Name

BERTRICE R ROTH

Original Issue Date

07/02/1980

Expiration Date

05/01/1982

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005