TERESA M ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051191

License Status

INACTIVE

Business

First Name

TERESA M

Last Name

ROTH

Business Name

TERESA M ROTH

Original Issue Date

01/08/1981

Expiration Date

01/31/1997

City

CHANDLERVILLE

State

Zip

62627

County

MASON

Ever Disciplined

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.