LAURA B GOFORTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041061987

License Status

INACTIVE

Business

First Name

LAURA B

Last Name

GOFORTH

Business Name

LAURA B GOFORTH

Original Issue Date

11/08/1948

Effective Date

11/08/1948

Expiration Date

05/31/2000

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006