Robert Manuel Boucher
ExpiredIllinois license 085000205
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000205
- Status
- Expired (Not Renewed)
- First issued
- April 11, 1980
- Expired
- March 1, 1986
- License holder
- Robert Manuel Boucher
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 04/11/1980
Contact
Peoria, IL 61603
Peoria County