Blake Butler Sparks
ActiveCalifornia license A204050
License
- Licensed by
- Medical Board of California
- License number
- A204050
- Status
- Active (Current)
- First issued
- July 21, 2025
- Expires
- September 30, 2027
- License holder
- Blake Butler Sparks
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
113 Waterworks Way
Ste 300
Irvine, CA 92618-3167
Ste 300
Irvine, CA 92618-3167
Orange County