DEREK W GOFF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006935

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

GOFF

Business Name

DEREK W GOFF

Original Issue Date

09/10/2014

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

KANSAS CITY

State

Zip

64155

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/13/2020