CAROL A SPARK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041199200

License Status

INACTIVE

Business

First Name

CAROL A

Last Name

SPARK

Business Name

CAROL A SPARK

Original Issue Date

11/17/1980

Effective Date

05/03/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014