TARA LYNN BOUCHARD
Medical Physician Assistant
Pennsylvania MA052284 Active
This Pennsylvania license is held by TARA LYNN BOUCHARD. The license is currently active. It was granted on 10/07/2005 and expired on 12/31/2016
LICENSE DETAILS
- License Number: MA052284
- Category: Medical Physician Asst
- Status: Active
- Date Granted: 10/07/2005 (over 19 years ago)
- Expiry Date: 12/31/2016 (over 8 years ago)
LOCATIONS
A Address
ALLENTOWN PA 18103
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