CHANTEL M GOFORTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296821

License Status

ACTIVE

Business

First Name

CHANTEL M

Last Name

GOFORTH

Business Name

CHANTEL M GOFORTH

Original Issue Date

05/21/1996

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/01/2026