License Directory

Andrea Kathryn Stout

Active

Illinois license 085004179

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
085004179
Status
Active
First issued
October 3, 2011
Expires
March 1, 2028
License holder
Andrea Kathryn Stout
Entity type
Individual

Classifications

More from the license record

Current term began
12/03/2025

Other Illinois licenses under this name

  • IL
    Andrea Kathryn Stout
    License 38*****84
    Physician Assistant Controlled Substance
    Active
    Edwardsville, IL
    Expires Mar 1, 2028

Contact

Columbia, IL 62236
Monroe County