Louisiana
Board of Licensing
BROUSSARD DAVID J
Medical
License number
CLP.G00908-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
LANE REGIONAL MEDICAL CTR, 6300 MAIN ST, ZACHARY, LA 70791
louisianalicensing.com
ID 21766457
LAST UPDATED 2024-03-08 20:49:18 UTC
LAST UPDATED 2024-03-08 20:49:18 UTC