The holder whose full name is SPARKS, PAUL W,come from WINCHESTER IN,hold the Physician license(NO.01013478A) which status is Expired Non-Renewable.
| Name | SPARKS, PAUL W |
|---|---|
| License Number | 01013478A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | WINCHESTER |
| State | IN |