GABRIELLE NICOLE GOFORTH - Occupational Therapist License in South Carolina | # 056011541

GABRIELLE NICOLE GOFORTH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011541

License Status

NOT RENEWED

Business

N

First Name

GABRIELLE

Middle

NICOLE

Last Name

GOFORTH

Business Name

GABRIELLE NICOLE GOFORTH

Original Issue Date

05/19/2016

Effective Date

01/01/2022

Expiration Date

12/31/2023

State

SC

Ever Disciplined

N

LastModifiedDate

03/28/2024