Indiana
Professional Licensing Agency
ELDRED WILLIAM STOUT
Controlled Substance Registration - Dentist
License number
12004382B
Date granted
01/31/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
227 N MAIN STREET, TIPTON IN 46072
indianalicensing.org
ID 5125478
LAST UPDATED 2024-03-13 03:37:57 UTC
LAST UPDATED 2024-03-13 03:37:57 UTC
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