Kelly Leroy Sparks
Temporary Physician Assistant Permit
Indiana 99026294A Superceded
This Indiana license was held by Kelly Leroy Sparks. The license is no longer active. It was granted on 04/12/2007 and expired on 01/12/2008
LICENSE DETAILS
- License Number: 99026294A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 04/12/2007 (about 18 years ago)
- Expiry Date: 01/12/2008 (over 17 years ago)
LOCATIONS
A Address
Fort Branch IN 47648