STACEY POLAN
Department Of Health - Osteopathic Physician
Florida OS11962 Relinquished
This Florida license was held by STACEY POLAN. The license is no longer active. It was granted on 07/01/1980 and expired on 03/31/2014
LICENSE DETAILS
- License Number: OS11962
- Category: Osteopathic Physician
- Status: Relinquished
- Date Granted: 07/01/1980 (almost 44 years ago)
- Expiry Date: 03/31/2014 (about 10 years ago)
LOCATIONS
A Primary Practice Address
162 WOLF STREET, PHILADELPHIA, PA 19148