BETTY JACQUELYNE REID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040206

License Status

NOT RENEWED

Business

First Name

BETTY JACQUELYNE

Last Name

REID

Suffix

Business Name

BETTY JACQUELYNE REID MD

Original Issue Date

03/02/1966

Effective Date

03/02/1966

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006