License holder summary

Stacey Lee Roth is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Stacey Lee Roth is Winamac IN 46996. This nurse license is not current. The license was granted 11/13/2009 and expired on 10/31/2012.

Indiana

State Board of Nursing

Stacey Lee Roth
Licensed Practical Nurse
License number
27064203A
Date granted
11/13/2009
Date expires
10/31/2012
Class
Licensed Practical Nurse
Status
Expired
Address
Winamac IN 46996
nursingindiana.org
ID 7235947
LAST UPDATED 2026-05-16 05:03:49 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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