MOLLY AMORY STOUT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156344

License Status

ACTIVE

Business

First Name

MOLLY

Middle

AMORY

Last Name

STOUT

Business Name

MOLLY AMORY STOUT

Original Issue Date

03/31/2021

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023