HARRY P ROTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158859

License Status

INACTIVE

Business

First Name

HARRY P

Last Name

ROTH

Business Name

HARRY P ROTH

Original Issue Date

12/12/1974

Effective Date

12/12/1974

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006