CHRISTINA LYNN GOFORTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004172

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

LYNN

Last Name

GOFORTH

Business Name

CHRISTINA LYNN GOFORTH

Original Issue Date

04/01/2003

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/19/2022