JASON RAYMOND OUELLETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113608

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RAYMOND

Last Name

OUELLETTE

Suffix

Business Name

JASON RAYMOND OUELLETTE MD

Original Issue Date

05/02/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/06/2008