WALLACE D SPARKS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299144

License Status

ACTIVE

Business

First Name

WALLACE D

Last Name

SPARKS

Business Name

WALLACE D SPARKS

Original Issue Date

08/20/1996

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/28/2026