BEVERLY J GOFORTH (Credential# 903032) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 3, 2015. The license expiration date date is June 30, 2015. The license status is INACTIVE.
BEVERLY J GOFORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.125130. The credential type is registered nurse. The effective date is March 3, 2015. The expiration date is June 30, 2015. The business address is 1325 S 9th St, Ocean Springs, MS 39564-8023. The current status is inactive.
| Licensee Name | BEVERLY J GOFORTH |
| Credential ID | 903032 |
| Credential Number | 10.125130 |
| Credential Type | Registered Nurse |
| Business Address |
1325 S 9th St Ocean Springs MS 39564-8023 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-03-03 |
| Effective Date | 2015-03-03 |
| Expiration Date | 2015-06-30 |
| Refresh Date | 2015-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1244479 | 10.121922-TEMP | Registered Nurse - Temporary | 2014-09-10 | 2014-09-10 - 2015-01-07 | INACTIVE |
| Street Address | 1325 S 9TH ST |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-8023 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dianna L Van Valkenburg | 2912 Pimlico Dr, Ocean Springs, MS 39564 | Engineer-in-training | 1999-02-09 ~ 2009-02-09 |
| Frank R Barta Sr | Great Oaks, Ocean Sprgs, MS 39564 | Physician/surgeon | 1992-09-24 ~ 1993-11-30 |
| Mahmoud H Zayed | 527 Front Beach Dr, Ocean Springs, MS 39564 | Physician/surgeon | 1994-01-04 ~ 1994-11-30 |
| Burnis T Cooper | 107 Mark Daniel Cir, Ocean Springs, MS 39564 | Registered Nurse | 2006-07-21 ~ 2007-08-31 |
| Roderick Elliott | 1402 Churchill Drive, Ocean Springs, MS 39564 | Registered Nurse | 2001-07-13 ~ 2001-12-31 |
| Tiffany A Hombs | 2421 Beachview Drive, Ocean Springs, MS 39564 | Physical Therapist | ~ 1997-03-31 |
| David A Earnest | 114 Glen Eagles Drive, Ocean Springs, MS 39564 | Respiratory Care Practitioner | 2007-11-13 ~ 2008-12-31 |
| Dawn R Gardner | 2823 Bienville Blvd #71, Ocean Springs, MS 39564 | Emergency Medical Technician | ~ 1994-10-01 |
| Cynthia L Bates | 3109 Old Shell Landing Rd., Ocean Springs, MS 39564 | Registered Nurse | 2002-03-20 ~ 2003-04-30 |
| Gulf Coast Pharmaceuticals Plus LLC | 995a N Halstead Rd, Ocean Springs, MS 39564-3105 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 39564 | |||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + OCEAN SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen Goforth | 4400 Nw Loop 410, San Antonio, TX 78229 | Registered Nurse | 2020-05-28 ~ 2021-05-31 |
| Kimberly Goforth Roof | 224 Lane of Sir Kay, Garner, NC 27529-9516 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Debra L Goforth | 95 Fountain St Unit 3433, New Haven, CT 06515-7728 | Licensed Practical Nurse | ~ |
| Gerald W Goforth | 92 Columbia Ave, Cranston, RI 02905 | Architect | 2016-08-01 ~ 2017-07-31 |
| Doreen E Goforth | 86 Colebrook St, Hartford, CT 06112-1410 | Hairdresser/cosmetician | 2010-08-01 ~ 2012-07-31 |
| Naomi Goforth | 92 Hemlock St Fl 2, West Haven, CT 06516-1507 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Tamara M Bober · Goforth | 294 Haddam Quarter, Durham, CT 06422 | Massage Therapist | 2020-02-01 ~ 2022-01-31 |
| Olivia Ann Goforth | 64 Mckinley Ave Apt C9, Bridgeport, CT 06606-5543 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Frances Goforth | P.o. Box 872, Roselle Rm 230, Southbury, CT 06488 | Medication Administration Certification | 2017-07-26 ~ 2019-07-25 |
| Timothy J Goforth | 264 Silver St, North Granby, CT 06060-1105 | Home Improvement Contractor | 2015-04-08 ~ 2015-11-30 |
Please comment or provide details below to improve the information on BEVERLY J GOFORTH.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).