License holder summary

STACEY I POLAN is a Osteopathic Physician and Surgeon licensed to practice in Pennsylvania. The address on file for STACEY I POLAN is Philadelphia PA 19148. This licensed professional license is not current. The license was granted 07/21/1980 and expired on 11/30/2014.

Pennsylvania

Department of State

STACEY I POLAN
Osteopathic Physician and Surgeon
License number
OS004495L
Date granted
07/21/1980
Date expires
11/30/2014
Class
Osteopathic Physician and Surgeon
Status
Expired
Address
Philadelphia PA 19148
palicensing.org
ID 16990847
LAST UPDATED 2024-03-10 18:07:15 UTC

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