Pennsylvania
Department of State
TARA LYNN BOUCHARD
Medical Physician Assistant
License number
MA052284
Date granted
10/07/2005
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
ALLENTOWN PA 18103
palicensing.org
ID 16637150
LAST UPDATED 2024-03-17 01:06:52 UTC
LAST UPDATED 2024-03-17 01:06:52 UTC
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