Wallace Adam Goforth
ExpiredIllinois license 041449328
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041449328
- Status
- Expired (Not Renewed)
- First issued
- January 24, 2017
- Expired
- September 30, 2020
- License holder
- Wallace Adam Goforth
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/26/2018
Other Illinois licenses under this name
-
IL
ExpiredCarbondale, ILExpired Sep 30, 2020
Contact
Carbondale, IL 62901
Florida County