RICHARD R STOUT MD - Medical Doctor License in Pennsylvania | # 036106900

RICHARD R STOUT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106900

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

R

Last Name

STOUT

Suffix

MD

Business Name

RICHARD R STOUT MD

Original Issue Date

05/08/2002

Effective Date

05/08/2002

Expiration Date

07/31/2005

State

PA

Ever Disciplined

N

LastModifiedDate

10/09/2006