Louisiana
Board of Licensing
Bradley Shanda Fuqua
Medical
License number
ATH.200395
Date expires
06/30/2015
Class
Medical
Status
Active
Address
333 Ben Weiner Avenue, New Orleans, LA 70118
louisianalicensing.com
ID 21761189
LAST UPDATED 2024-03-09 15:54:51 UTC
LAST UPDATED 2024-03-09 15:54:51 UTC