Person Information

Name:MARY GANSE ROTH

Address Information

Address(city state zipcode):LANCASTER PA17601

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:PediatricNumber:VP001219D
Profession:NursingStatus:ActiveDate This Status:
Issue Date:8/28/1987Expires:10/31/2017Last Renewed:7/22/2015

Prerequisite Information

Licensee:ROTH, MARY GANSERelationship:Self Automatic
Type:Registered NurseNumber:RN226187LStatus:Active
Date of Association:Date of Expiration:

Comments


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