Louisiana
Board of Licensing
BOLANOS BYRON MANUEL
Medical
License number
CRT.LT3422
Date expires
06/30/2015
Class
Medical
Status
Active
Address
1501 KINGS HWY, SHREVEPORT, LA 71103
louisianalicensing.com
ID 21851503
LAST UPDATED 2026-05-01 13:55:36 UTC
LAST UPDATED 2026-05-01 13:55:36 UTC