JASON RAYMOND OUELLETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

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

05/02/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008