Louisiana
Board of Licensing
Broussard Kimberly M.
Medical
License number
PA.200597
Date expires
09/30/2015
Class
Medical
Status
Active
Address
753 Industrial Park Rd., Larose, LA 70373
louisianalicensing.com
ID 22002137
LAST UPDATED 2024-03-11 22:57:03 UTC
LAST UPDATED 2024-03-11 22:57:03 UTC