Pennsylvania
Department of State
LISA JEAN BOUCHER
Medical Physician Assistant
License number
MA053916
Date granted
06/25/2009
Date expires
12/31/2010
Class
Medical Physician Assistant
Status
Expired
Address
Bridgeport CT 06606
palicensing.org
ID 16638767
LAST UPDATED 2026-04-07 11:56:55 UTC
LAST UPDATED 2026-04-07 11:56:55 UTC
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