P EVELYN SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026750

License Status

NOT RENEWED

Business

First Name

P EVELYN

Last Name

SPARKS

Business Name

P EVELYN SPARKS

Original Issue Date

04/13/1970

Expiration Date

05/01/1982

City

WITT

State

Zip

62094

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/21/2005