Shawn Matthew Stout
Controlled Substance Registration-Physician Assistant
Indiana 10001338C Active
This Indiana license is held by Shawn Matthew Stout. The license is currently active. It was granted on 04/24/2013 and expired on 06/30/2016
LICENSE DETAILS
- License Number: 10001338C
- Category: CSR-Physician Assistant
- Status: Active
- Date Granted: 04/24/2013 (about 12 years ago)
- Expiry Date: 06/30/2016 (about 9 years ago)
LOCATIONS
A Address
IU Hospital West, 1111 Ronald Reagan PKWY, Avon IN 46123
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