CHARLES LYLE SPARKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029259

License Status

INACTIVE

Business

First Name

CHARLES LYLE

Last Name

SPARKS

Business Name

CHARLES LYLE SPARKS

Original Issue Date

08/05/1972

Effective Date

03/13/2012

Expiration Date

03/31/2014

City

INDIANAPOLIS

State

Zip

46237

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014