License holder summary

SOUTH STACEY ANN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for SOUTH STACEY ANN is BUFFALO NY. This doctor license is not current. The license was granted 06/20/2005.

New York

Office of the Professions

SOUTH STACEY ANN
Medicine (Physician, Including M Ds & D Os)
License number
236615
Date granted
06/20/2005
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
BUFFALO NY
nymedicine.org
ID 30285440
LAST UPDATED 2024-03-31 22:05:00 UTC

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