JEFFREY R SPARKS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132116

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

Last Name

SPARKS

Business Name

JEFFREY R SPARKS DO

Original Issue Date

03/26/2013

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

06/17/2023