RONALD W STOUT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075702

License Status

INACTIVE

Business

First Name

RONALD W

Last Name

STOUT

Suffix

Business Name

RONALD W STOUT MD

Original Issue Date

08/23/1987

Effective Date

08/23/1987

Expiration Date

07/31/1990

City

ARDMORE

State

Zip

73401

Ever Disciplined

LastModifiedDate

07/25/2012