REBECCA E SPARKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005418

License Status

INACTIVE

Business

First Name

REBECCA E

Last Name

SPARKS

Business Name

REBECCA E SPARKS

Original Issue Date

12/17/2004

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

03/15/2018