Wisconsin
Department of Safety and Professional Services
Stout, Mark J
Medicine And Surgery
License number
62383-20
Date granted
06/02/2014
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36502776
LAST UPDATED 2026-04-20 05:53:24 UTC
LAST UPDATED 2026-04-20 05:53:24 UTC
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