Shawn Matthew Stout
Controlled Substance Registration-Physician Assistant
Indiana 10001338B Active
This Indiana license is held by Shawn Matthew Stout. The license is currently active. It was granted on 12/07/2012 and expired on 06/30/2016
LICENSE DETAILS
- License Number: 10001338B
- Category: CSR-Physician Assistant
- Status: Active
- Date Granted: 12/07/2012 (over 12 years ago)
- Expiry Date: 06/30/2016 (almost 9 years ago)
LOCATIONS
A Address
1500 N Ritter Avenue, Indianapolis IN 46219
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