JASON SCOTT WILLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172617

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

SCOTT

Last Name

WILLIS

Business Name

JASON SCOTT WILLIS MD

Original Issue Date

11/04/2024

Effective Date

11/04/2024

Expiration Date

07/31/2026

City

NEW HAVEN

State

Zip

06511

Ever Disciplined

LastModifiedDate

06/24/2025