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
LAST UPDATED 2024-04-10 23:31:32 UTC