License holder summary

STOUT DANIEL GLENN is a Medical licensed to practice in Louisiana. The address on file for STOUT DANIEL GLENN is 4809 Ambassador Caffery Pkwy. Ste 200, Lafayette, LA 70508.

Louisiana

Board of Licensing

STOUT DANIEL GLENN
Medical
License number
MD.201440
Date expires
06/30/2015
Class
Medical
Status
Active
Address
4809 Ambassador Caffery Pkwy. Ste 200, Lafayette, LA 70508
louisianalicensing.com
ID 21967497
LAST UPDATED 2024-04-10 23:31:32 UTC

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