MARK J STOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080105

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

STOUT

Suffix

Business Name

MARK J STOUT MD

Original Issue Date

06/21/1990

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

LIGHTHOUSE POINT

State

Zip

33064

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014