MICHELLE M BOUCHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011616

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BOUCHER

Business Name

MICHELLE M BOUCHER

Original Issue Date

03/14/2006

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2009