JODI G ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071224

License Status

INACTIVE

Business

First Name

JODI

Middle

Last Name

ROTH

Business Name

JODI G ROTH

Original Issue Date

01/16/1992

Effective Date

11/06/2000

Expiration Date

01/31/2001

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/15/2005