C JANE ROTHOLTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057104

License Status

INACTIVE

Business

First Name

C JANE

Last Name

ROTHOLTZ

Business Name

C JANE ROTHOLTZ

Original Issue Date

05/09/1983

Effective Date

11/04/2004

Expiration Date

01/31/2007

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/03/2006