KELLY LEROY SPARKS
Physician Assistants - Physician Assistant
Iowa 001365 Inactive
This Iowa license was held by KELLY LEROY SPARKS. The license is no longer active. It was granted on 11/13/2001 and expired on 09/30/2003
LICENSE DETAILS
- License Number: 001365
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 11/13/2001 (over 23 years ago)
- Expiry Date: 09/30/2003 (over 21 years ago)
LOCATIONS
A Address
6516 N UNIVERSITY, #1014 PEORIA IL 61614