ANDREW R PELLETIER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073663

License Status

INACTIVE

Business

First Name

ANDREW R

Last Name

PELLETIER

Suffix

Business Name

ANDREW R PELLETIER MD

Original Issue Date

09/02/1986

Effective Date

09/02/1986

Expiration Date

07/31/1987

City

SANFORD

State

Zip

04073

County

MAINE

Ever Disciplined

LastModifiedDate

09/20/2006