DAWN M BOUCHARD Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004319

License Status

INACTIVE

Business

First Name

DAWN M

Last Name

BOUCHARD

Business Name

DAWN M BOUCHARD

Original Issue Date

12/12/1996

Expiration Date

12/31/1997

City

FRENCHVILLE

State

Zip

04745

County

MAINE

Ever Disciplined

LastModifiedDate

07/28/2005