PENNY L ROTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054531

License Status

ACTIVE

Business

First Name

PENNY L

Last Name

ROTH

Business Name

PENNY L ROTH

Original Issue Date

07/27/1982

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/02/2024