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
LAST UPDATED 2024-03-13 08:38:34 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.