MOLLY AMORY STOUT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071619

License Status

CANCELLED

Business

First Name

MOLLY

Middle

AMORY

Last Name

STOUT

Business Name

MOLLY AMORY STOUT

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

02/23/2018