PAUL K STOUT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088709

License Status

NOT RENEWED

Business

First Name

PAUL K

Last Name

STOUT

Suffix

Business Name

PAUL K STOUT DO

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006