LEIGH DUANE SPARKS - Registered Nurse License in Indiana | # 041451679

LEIGH DUANE SPARKS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041451679

License Status

NOT RENEWED

Business

N

First Name

LEIGH

Middle

DUANE

Last Name

SPARKS

Business Name

LEIGH DUANE SPARKS

Original Issue Date

03/23/2017

Effective Date

05/29/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021