Indiana
Professional Licensing Agency
Shawn Matthew Stout
Controlled Substance Registration-Physician Assistant
License number
10001338C
Date granted
04/24/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
IU Hospital West, 1111 Ronald Reagan PKWY, Avon IN 46123
indianalicensing.org
ID 8385750
LAST UPDATED 2026-04-02 20:09:31 UTC
LAST UPDATED 2026-04-02 20:09:31 UTC
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