LOUISE A SPARKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020818

License Status

INACTIVE

Business

First Name

LOUISE A

Last Name

SPARKS

Business Name

LOUISE A SPARKS

Original Issue Date

10/02/1967

City

LAKE HAVASU CITY

State

Zip

86203

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/21/2005