License holder summary

BACON MATTIE JEAN is a Medical licensed to practice in Louisiana.

Louisiana

Board of Licensing

BACON MATTIE JEAN
Medical
License number
CLP.L00552-LAB
Date expires
12/31/2007
Class
Medical
Status
Active
louisianalicensing.com
ID 21820751
LAST UPDATED 2026-06-07 14:50:43 UTC

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