REBECCA I SPARKS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022126

License Status

EXPIRED

Business

First Name

REBECCA

Middle

Last Name

SPARKS

Business Name

REBECCA I SPARKS

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006