JESSE SAMUELS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096883

License Status

NOT RENEWED

Business

First Name

JESSE

Last Name

SAMUELS

Business Name

JESSE SAMUELS

Original Issue Date

10/22/1997

Effective Date

10/22/1997

Expiration Date

07/31/2002

City

WEST HARTFORD

State

Zip

06117

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/09/2006