DETRA CAROLYN SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080906

License Status

NOT RENEWED

Business

First Name

DETRA CAROLYN

Last Name

SPARKS

Business Name

DETRA CAROLYN SPARKS

Original Issue Date

05/27/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

BIRMINGHAM

State

Zip

35206

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/21/2005