License holder summary

MATTHEW BOUTEILLER is a Physician Assistant licensed to practice in Connecticut. The address on file for MATTHEW BOUTEILLER is 50 UNION ST APT 9, Hampshire, NORTHAMPTON, MA, 01060-3254. This licensed professional license is current. The license was granted 10/31/2002 and expired on 10/31/2013.

Connecticut

Department of Consumer Protection

MATTHEW BOUTEILLER
Physician Assistant
License number
1275
Date granted
10/31/2002
Date expires
10/31/2013
Class
Physician Assistant
Status
Active
Address
50 UNION ST APT 9, Hampshire, NORTHAMPTON, MA, 01060-3254
ctlicensing.org
ID 4311231
LAST UPDATED 2024-03-30 13:12:00 UTC

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