ODETTE M SPARKS Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002128

License Status

NOT RENEWED

Business

First Name

ODETTE

Middle

Last Name

SPARKS

Business Name

ODETTE M SPARKS

Original Issue Date

11/17/1992

Expiration Date

12/11/1993

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/31/2005