CARLA SUE GOFORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035900

License Status

NOT RENEWED

Business

First Name

CARLA SUE

Last Name

GOFORTH

Business Name

CARLA SUE GOFORTH

Original Issue Date

01/30/1975

City

NEW HAVEN

State

Zip

62867

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/21/2005