BRYAN CLIFTON STOUT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003977

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

CLIFTON

Last Name

STOUT

Business Name

BRYAN CLIFTON STOUT

Original Issue Date

01/03/2011

Effective Date

02/21/2012

Expiration Date

03/01/2014

City

WILKINSON

State

Zip

46186

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014