NORMA L ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070563

License Status

INACTIVE

Business

First Name

NORMA L

Last Name

ROTH

Business Name

NORMA L ROTH

Original Issue Date

01/16/1992

Effective Date

11/17/2014

Expiration Date

01/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/10/2016