License holder summary

SPARKS, TABITHA NICHOLE is a Medical - Assistant Cosmetic Laser Practitioner licensed to practice in Georgia. The address on file for SPARKS, TABITHA NICHOLE is 2800 12TH AVENUE, PHENIX CITY 36867. This doctor license is current. The license was granted 03/03/2016 and expired on 07/31/2017.

Georgia

Composite Medical Board

SPARKS, TABITHA NICHOLE
Medical - Assistant Cosmetic Laser Practitioner
License number
000648
Date granted
03/03/2016
Date expires
07/31/2017
Class
Medical - Assistant Cosmetic Laser Practitioner
Status
Active
Address
2800 12TH AVENUE
georgiadoctors.net
ID 38096045
LAST UPDATED 2024-03-26 05:35:51 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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