DANIEL L STANTON JR MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

ACTIVE

N

MD

DANIEL

L

STANTON

JR

DANIEL L STANTON JR MD

06/17/2004

06/06/2023

07/31/2026

SPRINGFIELD

IL

62769

SANGAMON

II III IV V

N

06/06/2023