Louisiana
Board of Licensing
MACK ERNESTINE MILLER
Medical
License number
RRT.L00488
Date expires
01/31/2015
Class
Medical
Status
Active
Address
LSUMC 1501 KINGS HWY, SHREVEPORT, LA 71101
louisianalicensing.com
ID 22017438
LAST UPDATED 2024-02-13 12:54:59 UTC
LAST UPDATED 2024-02-13 12:54:59 UTC