License holder summary

Emily Stout is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Emily Stout is 805 Waterbury Park Drive, Elkhart IN 46517. This licensed professional license is current. The license was granted 07/08/2011 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Emily Stout
Controlled Substance Registration - Dentist
License number
12011619B
Date granted
07/08/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
805 Waterbury Park Drive, Elkhart IN 46517
indianalicensing.org
ID 5090659
LAST UPDATED 2024-04-18 03:06:05 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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