MELISSA KAY BOUCHER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079221

License Status

EXPIRED

Business

First Name

MELISSA

Middle

KAY

Last Name

BOUCHER

Business Name

MELISSA KAY BOUCHER

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2024

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024