Indiana
Professional Licensing Agency
Harold Tippett Sparks
Controlled Substance Registration-Osteopathic Physician
License number
02000119C
Date granted
05/30/2007
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
600 Cullen Avenue #508, Evansville IN 47715
indianalicensing.org
ID 5799588
LAST UPDATED 2024-04-04 16:32:43 UTC
LAST UPDATED 2024-04-04 16:32:43 UTC
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