MOLLY JEAN STOUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

MOLLY

Middle

JEAN

Last Name

STOUT

Business Name

MOLLY JEAN STOUT MD

Original Issue Date

09/05/2014

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021