JENNIFER A BOUCHARD - Advanced Practice Nurse License in Illinois | # 209005520

JENNIFER A BOUCHARD

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005520

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

A

Last Name

BOUCHARD

Business Name

JENNIFER A BOUCHARD

Original Issue Date

04/21/2005

Effective Date

05/07/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2014