STACEY ELLEN BAN
Licensed Physician Controlled Substance
Illinois 336073592 Active
This Illinois license is held by STACEY ELLEN BAN. The license is currently active. It was granted on 12/27/2004 and expired on 07/31/2017
LICENSE DETAILS
- License Number: 336073592
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 12/27/2004 (over 21 years ago)
- Expiry Date: 07/31/2017 (about 9 years ago)
LOCATIONS
A Address
DEERFIELD, IL 60015
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