Louisiana
Board of Licensing
BANGE JENNIE MOORE
Medical
License number
OTT.200202
Date expires
01/31/2015
Class
Medical
Status
Active
Address
LSUHSC, 1501 Kings Hwy, P.O. Box 33932, SHREVEPORT, LA 71130
louisianalicensing.com
ID 21987196
LAST UPDATED 2026-04-23 18:44:08 UTC
LAST UPDATED 2026-04-23 18:44:08 UTC