License holder summary

MARK THOMAS STOUT is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for MARK THOMAS STOUT is Annville PA 17003. This licensed professional license is current. The license was granted 02/13/1984 and expired on 12/31/2016.

Pennsylvania

Department of State

MARK THOMAS STOUT
Medical Physician Assistant
License number
MA000613L
Date granted
02/13/1984
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Annville PA 17003
palicensing.org
ID 16632642
LAST UPDATED 2024-03-22 08:24:13 UTC

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