TERESA M ROTH - Registered Nurse License in Illinois | # 043051191

TERESA M ROTH

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051191

License Status

INACTIVE

Business

N

First Name

TERESA M

Last Name

ROTH

Business Name

TERESA M ROTH

Original Issue Date

01/08/1981

Expiration Date

01/31/1997

State

IL

Ever Disciplined

Y

LastModifiedDate

10/21/2005

Case Number

1990007023

Action

Refuse To Renew

Discipline Start Date

10/19/1990

Discipline End Date

11/21/1990

Discipline Reason

Defaulted on Illinois Student Assistance loan.