Indiana
Professional Licensing Agency
DAVID RUCKER STOUT
Controlled Substance Registration - Physician
License number
01027578B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
225 SOUTH PINE STREET STE 200, SEYMOUR IN 47274
indianalicensing.org
ID 5918512
LAST UPDATED 2024-03-10 11:31:35 UTC
LAST UPDATED 2024-03-10 11:31:35 UTC
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