License holder summary

BANGE JENNIE MOORE is a Medical licensed to practice in Louisiana. The address on file for BANGE JENNIE MOORE is LSUHSC, 1501 Kings Hwy, P.O. Box 33932, SHREVEPORT, LA 71130.

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

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