JAMIE MARIE SPARKS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012185

License Status

ACTIVE

Business

First Name

JAMIE

Middle

MARIE

Last Name

SPARKS

Business Name

JAMIE MARIE SPARKS

Original Issue Date

06/29/2007

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

FOOSLAND

State

Zip

61845

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/06/2024