KELLY LEROY SPARKS
Physician Assistant Controlled Substance
Illinois 385000922 Not Renewed
This Illinois license was held by KELLY LEROY SPARKS. The license is no longer active. It was granted on 04/24/2003 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 385000922
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 04/24/2003 (about 22 years ago)
- Expiry Date: 03/01/2010 (over 15 years ago)
LOCATIONS
A Address
Sycamore, IL 60178-3125