CHRISTINE MARIE BOUCHARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123198

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

BOUCHARD

Suffix

Business Name

CHRISTINE MARIE BOUCHARD MD

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

07/31/2011

City

MIDLOTHIAN

State

Zip

23113

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/14/2011