Indiana
Professional Licensing Agency
Jennifer L. Stout
Occupational Therapist
License number
31004656A
Date granted
07/22/2008
Date expires
12/31/2014
Class
Occupational Therapist
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8278812
LAST UPDATED 2026-04-27 06:41:03 UTC
LAST UPDATED 2026-04-27 06:41:03 UTC
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