FREDERICK DAVID ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337626

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

DAVID

Last Name

ROTH

Business Name

FREDERICK DAVID ROTH

Original Issue Date

09/26/2003

Effective Date

09/26/2003

Expiration Date

05/31/2006

City

HOHENWALD

State

Zip

38462

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006