HAROLD W GOFORTH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105637

License Status

INACTIVE

Business

First Name

HAROLD

Middle

Last Name

GOFORTH

Business Name

HAROLD W GOFORTH

Original Issue Date

09/26/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DURHAM

State

Zip

27710

Ever Disciplined

LastModifiedDate

04/10/2012