SUSAN BOUCHARD - Dentist License in Arizona | # 020001575

SUSAN BOUCHARD

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001575

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Last Name

BOUCHARD

Business Name

SUSAN BOUCHARD

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

04/01/1982

State

AZ

Ever Disciplined

N

LastModifiedDate

10/12/2005