CARLA S GOFORTH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041165995

License Status

INACTIVE

Business

First Name

CARLA S

Last Name

GOFORTH

Business Name

CARLA S GOFORTH

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

05/31/1996

City

NEW HAVEN

State

Zip

62867

County

GALLATIN

Ever Disciplined

LastModifiedDate

09/27/2006