License holder summary

STOUT, MANDY CANNON is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for STOUT, MANDY CANNON is 253 CHANDLER WALK, Loganville 30052. This doctor license is current. The license was granted 09/13/2002 and expired on 09/30/2016.

Georgia

Composite Medical Board

STOUT, MANDY CANNON
Medical - Physician Assistant
License number
003919
Date granted
09/13/2002
Date expires
09/30/2016
Class
Medical - Physician Assistant
Status
Active
Address
253 CHANDLER WALK
georgiadoctors.net
ID 38101837
LAST UPDATED 2024-04-05 02:14:56 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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