MICHAEL LAWRENCE SPARKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074625

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

LAWRENCE

Last Name

SPARKS

Business Name

MICHAEL LAWRENCE SPARKS MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/06/2024