MARTHA KATHERINE ROTH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002777

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

KATHERINE

Last Name

ROTH

Business Name

MARTHA KATHERINE ROTH

Original Issue Date

06/30/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

12/05/2007