JUDITH E ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041132660

License Status

NOT RENEWED

Business

First Name

JUDITH E

Last Name

ROTH

Business Name

JUDITH E ROTH

Original Issue Date

09/16/1969

Effective Date

09/16/1969

Expiration Date

05/31/1984

City

FORT WAYNE

State

Zip

46815

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006