EUGENE GEORGE GOFORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025393

License Status

NOT RENEWED

Business

First Name

EUGENE GEORGE

Last Name

GOFORTH

Suffix

Business Name

EUGENE GEORGE GOFORTH MD

Original Issue Date

01/01/1997

City

SEATTLE

State

Zip

98177

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006