Shelly Renae Sparks

Nursing Board - Csr Prescriptive Authority

Indiana  71001150B   Active

This Indiana license is held by Shelly Renae Sparks. The license is currently active. It was granted on 06/21/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71001150B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 06/21/2001 (almost 25 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

St. Vincent Medical Group, 141 West 22nd Street Suite212, Anderson IN 46012