JENNIFER A BOUCHARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BOUCHARD

Business Name

JENNIFER A BOUCHARD

Original Issue Date

09/24/2007

Effective Date

05/08/2012

Expiration Date

05/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/03/2014