Louisiana
Board of Licensing
Boussert Kelly Eaton
Medical
License number
MD.207144
Date expires
09/30/2015
Class
Medical
Status
Active
Address
9118 Bluebonnet Centre Blvd, Baton Rouge, LA 70809
louisianalicensing.com
ID 21885478
LAST UPDATED 2026-03-12 00:18:41 UTC
LAST UPDATED 2026-03-12 00:18:41 UTC