License holder summary

Jaise Thekkan Poulose is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jaise Thekkan Poulose is Innovis Health Hospital, 3000 32nd avenue South, Fargo, ND 58103. This doctor license is not current. The license was granted 09/08/2007 and expired on 08/31/2011.

Department of Safety and Professional Services

Board of Medical Practice

Jaise Thekkan Poulose
Medical - Physician And Surgeon
License number
50104
Date granted
09/08/2007
Date expires
08/31/2011
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Innovis Health Hospital, 3000 32nd avenue South, Fargo, ND 58103
doctorsminnesota.org
ID 22280799
LAST UPDATED 2024-02-02 18:06:55 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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