BERTHA LEE SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016770

License Status

NOT RENEWED

Business

First Name

BERTHA LEE

Last Name

SPARKS

Business Name

BERTHA LEE SPARKS

Original Issue Date

10/06/1966

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005