STACEY MARIE BOUCHER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025589

License Status

ACTIVE

Business

First Name

STACEY

Middle

MARIE

Last Name

BOUCHER

Business Name

STACEY MARIE BOUCHER

Original Issue Date

07/28/2022

Effective Date

07/09/2024

Expiration Date

05/31/2026

City

SAN DIEGO

State

Zip

92121

Ever Disciplined

LastModifiedDate

03/02/2026