SANDRA LEE ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335525

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LEE

Last Name

ROTH

Business Name

SANDRA LEE ROTH

Original Issue Date

07/02/2003

Effective Date

09/15/2008

Expiration Date

05/31/2010

City

GLEN ULLIN

State

Zip

58631

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

08/16/2010