Rebecca Iris Sparks Case
Controlled Substance Registration - Physician
Indiana 01059698B Active
This Indiana license is held by Rebecca Iris Sparks Case. The license is currently active. It was granted on 10/19/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01059698B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/19/2004 (over 20 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Pierceton Clinic, #5 Matchett Dr., Pierceton IN 46562
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