DETRA CAROLYN SPARKS - Registered Nurse License in Alabama | # 043080906

DETRA CAROLYN SPARKS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080906

License Status

NOT RENEWED

Business

N

First Name

DETRA CAROLYN

Last Name

SPARKS

Business Name

DETRA CAROLYN SPARKS

Original Issue Date

05/27/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

State

AL

Ever Disciplined

N

LastModifiedDate

10/21/2005