REBECCA E SPARKS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INACTIVE

Business

First Name

REBECCA E

Last Name

SPARKS

Business Name

REBECCA E SPARKS

Original Issue Date

01/21/2005

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/29/2018