JESSICA A SUTHERLAND Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112413

License Status

INACTIVE

Business

First Name

JESSICA

Middle

Last Name

SUTHERLAND

Business Name

JESSICA A SUTHERLAND

Original Issue Date

09/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PORTSMOUTH

State

Zip

03801

Ever Disciplined

LastModifiedDate

10/08/2009