MICHELLE MARIE BOUDREAU DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148393

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

BOUDREAU

Business Name

MICHELLE MARIE BOUDREAU DO

Original Issue Date

02/27/2019

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

FORT MYERS

State

Zip

33919

Ever Disciplined

LastModifiedDate

11/30/2023