License holder summary

Kelly Leroy Sparks is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kelly Leroy Sparks is Major Hospital, 150 West Washington Street, Shelbyville IN 46176. This licensed professional license is current. The license was granted 09/24/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Kelly Leroy Sparks
Controlled Substance Registration-Physician Assistant
License number
10000928C
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Major Hospital, 150 West Washington Street, Shelbyville IN 46176
indianalicensing.org
ID 8388481
LAST UPDATED 2024-04-07 14:22:26 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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