CHRISTINE MARIE BOUCHARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000748

License Status

EXPIRED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

BOUCHARD

Suffix

Business Name

CHRISTINE MARIE BOUCHARD MD

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

04/09/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/18/2008