Louisiana
Board of Licensing
BOURNES XANTHIPPIA R.
Medical
License number
CLP.L02256-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1100 Johnson Ferry Rd., Bldg. 1, Ste 600, Atlanta, GA 30342
louisianalicensing.com
ID 21821661
LAST UPDATED 2024-02-19 16:35:31 UTC
LAST UPDATED 2024-02-19 16:35:31 UTC