WAYNE A STOUTENGER D Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076593

License Status

INACTIVE

Business

First Name

WAYNE

Middle

Last Name

STOUTENGER

Suffix

Business Name

WAYNE A STOUTENGER D

Original Issue Date

01/16/1988

Effective Date

01/16/1988

Expiration Date

07/31/1990

City

APO MIAMI

State

Zip

34004

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006