License holder summary

ELDRED WILLIAM STOUT is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ELDRED WILLIAM STOUT is 227 N MAIN STREET, TIPTON IN 46072. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/1994.

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

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