Louisiana
Board of Licensing
Ennis Bruce Martin
Medical
License number
MD.201758
Date expires
11/30/2014
Class
Medical
Status
Active
Address
39 Starbrush Circle, Covington, LA 70433
louisianalicensing.com
ID 21905641
LAST UPDATED 2024-05-11 11:01:18 UTC
LAST UPDATED 2024-05-11 11:01:18 UTC