License holder summary

KELLY LANETTE SPARKS is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY LANETTE SPARKS is 1365 SILVER CREEK WAY TWIN FALLS ID 83301. This licensed professional license is current. The license was granted 07/01/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KELLY LANETTE SPARKS
Board Of Medicine
License number
LRT-1064
Date granted
07/01/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1365 SILVER CREEK WAY TWIN FALLS ID 83301
idaholicensing.com
ID 48356756
LAST UPDATED 2024-04-03 10:39:24 UTC

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