BRITTANY LEE FARIS

Business Entity
INOPERATIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****51

INOPERATIVE

N

BRITTANY

LEE

FARIS

BRITTANY LEE FARIS

03/18/2014

02/28/2018

03/01/2020

OLNEY

IL

62450

RICHLAND

N

12/18/2019