Lisa M. Boucher
Radiology Provisional Permit
Indiana XP505524 Expired Non-Renewable
This Indiana license was held by Lisa M. Boucher. The license is no longer active. It was granted on 05/01/2014 and expired on 11/01/2014
LICENSE DETAILS
- License Number: XP505524
- Category: Radiology Provisional Permit
- Status: Expired Non-Renewable
- Date Granted: 05/01/2014 (about 11 years ago)
- Expiry Date: 11/01/2014 (over 10 years ago)
LOCATIONS
A Address
Memphis IN 47143