Indiana
Professional Licensing Agency
Rebecca Iris Sparks Case
Controlled Substance Registration - Physician
License number
01059698B
Date granted
10/19/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Pierceton Clinic, #5 Matchett Dr., Pierceton IN 46562
indianalicensing.org
ID 5909880
LAST UPDATED 2024-03-01 05:10:08 UTC
LAST UPDATED 2024-03-01 05:10:08 UTC
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