License holder summary

BOLANOS AMANDA RESTIVO is a Medical licensed to practice in Louisiana. The address on file for BOLANOS AMANDA RESTIVO is 510 E. Stoner Avenue, SHREVEPORT, LA 71101.

Louisiana

Board of Licensing

BOLANOS AMANDA RESTIVO
Medical
License number
CRT.LT3386
Date expires
12/31/2014
Class
Medical
Status
Active
Address
510 E. Stoner Avenue, SHREVEPORT, LA 71101
louisianalicensing.com
ID 21851501
LAST UPDATED 2024-04-26 14:59:07 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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