JENNIFER A BOUCHARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005520

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BOUCHARD

Business Name

JENNIFER A BOUCHARD

Original Issue Date

04/21/2005

Effective Date

05/07/2012

Expiration Date

05/31/2014

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

07/03/2014