DENISE M GOFORTH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000026

License Status

NOT RENEWED

Business

First Name

DENISE M

Last Name

GOFORTH

Business Name

DENISE M GOFORTH

Original Issue Date

09/30/1989

Effective Date

02/24/2020

Expiration Date

02/28/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022