WILLIAM JOHN STOUT Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002966

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

JOHN

Last Name

STOUT

Business Name

WILLIAM JOHN STOUT

Original Issue Date

05/24/2007

Effective Date

01/26/2012

Expiration Date

03/01/2014

City

OLMSTED FALLS

State

Zip

44138

County

OHIO

Ever Disciplined

LastModifiedDate

12/19/2013