Indiana
Professional Licensing Agency
Richard L. Stout
Controlled Substance Registration - Physician
License number
01031192C
Date granted
06/26/1989
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2016 WEST SYCAMORE STREET, KOKOMO IN 46901
indianalicensing.org
ID 5876965
LAST UPDATED 2024-05-09 18:52:41 UTC
LAST UPDATED 2024-05-09 18:52:41 UTC
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