License holder summary

Julianne Stout is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Julianne Stout is Purdue University Student Health, 601 Stadium Mall Drive, West Lafayette IN 47906. This licensed professional license is current. The license was granted 02/03/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Julianne Stout
Controlled Substance Registration - Physician
License number
01068694B
Date granted
02/03/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Purdue University Student Health, 601 Stadium Mall Drive, West Lafayette IN 47906
indianalicensing.org
ID 5934151
LAST UPDATED 2024-03-13 08:38:34 UTC

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