License holder summary

KELLY LEROY SPARKS is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for KELLY LEROY SPARKS is 6516 N UNIVERSITY, #1014 PEORIA IL 61614. This licensed professional license is not current. The license was granted 11/13/2001 and expired on 09/30/2003.

Iowa

Professional Licensing Bureau

KELLY LEROY SPARKS
Physician Assistants - Physician Assistant
License number
001365
Date granted
11/13/2001
Date expires
09/30/2003
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
6516 N UNIVERSITY, #1014 PEORIA IL 61614
iowalicenses.org
ID 24189217
LAST UPDATED 2024-05-22 08:58:05 UTC

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