Indiana
Professional Licensing Agency
Daniel J. Stout
Controlled Substance Registration - Physician
License number
01025694B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1120 AAA Way # A, Carmel IN 46032
indianalicensing.org
ID 5830190
LAST UPDATED 2024-04-11 10:17:41 UTC
LAST UPDATED 2024-04-11 10:17:41 UTC
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