ERIC M SPARKS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014114

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

SPARKS

Business Name

ERIC M SPARKS

Original Issue Date

09/01/2004

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/04/2024