ANDREW ROBERT ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338492

License Status

INACTIVE

Business

First Name

ANDREW

Middle

ROBERT

Last Name

ROTH

Business Name

ANDREW ROBERT ROTH

Original Issue Date

12/12/2003

Effective Date

12/12/2003

Expiration Date

05/31/2004

City

SYLVANIA

State

Zip

43560

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006