SUSIE A SPARKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077797

License Status

NOT RENEWED

Business

First Name

SUSIE A

Last Name

SPARKS

Business Name

SUSIE A SPARKS

Original Issue Date

08/28/1995

Effective Date

12/01/2005

Expiration Date

01/31/2007

City

DAHINDA

State

Zip

61428

County

KNOX

Ever Disciplined

LastModifiedDate

03/16/2007