DONALD NORMAN ROTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269119

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

NORMAN

Last Name

ROTH

Business Name

DONALD NORMAN ROTH

Original Issue Date

08/20/1992

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

SOUTH MILWAUKEE

State

Zip

53172

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021