TINA MARIE ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041197276

License Status

NOT RENEWED

Business

First Name

TINA MARIE

Last Name

ROTH

Business Name

TINA MARIE ROTH

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/2002

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006