Louisiana
Board of Licensing
Booth Mona Bennett
Medical
License number
CLP.202971-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Allen's Family Practice, 105 East Oak St., Ponchatoula, LA 70454
louisianalicensing.com
ID 21821647
LAST UPDATED 2024-05-03 10:56:35 UTC
LAST UPDATED 2024-05-03 10:56:35 UTC