Shawn Matthew Stout
Temporary Physician Assistant Permit
Indiana 99048634A Superceded
This Indiana license was held by Shawn Matthew Stout. The license is no longer active. It was granted on 09/16/2011 and expired on 06/16/2012
LICENSE DETAILS
- License Number: 99048634A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 09/16/2011 (almost 14 years ago)
- Expiry Date: 06/16/2012 (about 13 years ago)
LOCATIONS
A Address
Fishers IN 46038