CAROLYN H BOUCHER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011929

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

Last Name

BOUCHER

Business Name

CAROLYN H BOUCHER

Original Issue Date

05/08/2000

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/16/2024