CAROL SUE SPARKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021289

License Status

INACTIVE

Business

First Name

CAROL SUE

Last Name

SPARKS

Business Name

CAROL SUE SPARKS

Original Issue Date

12/07/1967

Effective Date

01/04/2011

Expiration Date

01/31/2013

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2012