KENNETH E SPARR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

SPARR

Suffix

Business Name

KENNETH E SPARR MD

Original Issue Date

11/16/2011

Effective Date

11/16/2011

Expiration Date

07/31/2014

City

NEW GLARUS

State

Zip

53574

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014