Indiana
Professional Licensing Agency
Tyler A. Grout
Controlled Substance Registration - Podiatrist
License number
07001124B
Date granted
07/26/2011
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
120 Hospital Drive, Suite 100, Lebanon MO 65536
indianalicensing.org
ID 8431166
LAST UPDATED 2026-03-14 02:29:42 UTC
LAST UPDATED 2026-03-14 02:29:42 UTC
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