License holder summary

Glen M Bouchard is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Glen M Bouchard is Baystate Wing Memorial Hospital, 40 Wright Street, Palmer 01069. This licensed professional license is current. The license was granted 08/25/1993 and expired on 05/23/2017.

Massachusetts

Division of Professional Licensure

Glen M Bouchard
Board Of Registration In Medicine
License number
78416
Date granted
08/25/1993
Date expires
05/23/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Baystate Wing Memorial Hospital, 40 Wright Street
licensingma.org
ID 41414200
LAST UPDATED 2024-03-15 06:36:56 UTC

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