ROBERT MANUEL BOUCHER - Physician Assistant License in Illinois | # 085000205

ROBERT MANUEL BOUCHER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000205

License Status

NOT RENEWED

Business

N

First Name

ROBERT MANUEL

Last Name

BOUCHER

Business Name

ROBERT MANUEL BOUCHER

Original Issue Date

04/11/1980

Effective Date

04/11/1980

Expiration Date

03/01/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006