MELISSA KAY BOUCHER - Medical Doctor License in Illinois | # 125079221

MELISSA KAY BOUCHER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079221

License Status

EXPIRED

Business

N

First Name

MELISSA

Middle

KAY

Last Name

BOUCHER

Business Name

MELISSA KAY BOUCHER

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2024

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/30/2024