SUSAN C SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041302407

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SPARKS

Business Name

SUSAN C SPARKS

Original Issue Date

04/03/1997

Effective Date

04/16/2014

Expiration Date

05/31/2016

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016