License holder summary

MARVIN DALE BOUCHON is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for MARVIN DALE BOUCHON is Sarasota FL 34241. This licensed professional license is not current. The license was granted 10/19/2010 and expired on 09/30/2012.

Pennsylvania

Department of State

MARVIN DALE BOUCHON
Pharmacy - Authorization to Administer Injectables
License number
RPI003857
Date granted
10/19/2010
Date expires
09/30/2012
Class
Pharmacy - Authorization to Administer Injectables
Status
Inactive
Address
Sarasota FL 34241
palicensing.org
ID 17028816
LAST UPDATED 2026-04-19 18:54:45 UTC

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