MOLLY AMORY STOUT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

MOLLY

Middle

AMORY

Last Name

STOUT

Business Name

MOLLY AMORY STOUT

Original Issue Date

05/06/2021

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023