Louisiana
Board of Licensing
BROUSSARD VICKI R
Medical
License number
POLY.000194
Date expires
11/30/2014
Class
Medical
Status
Active
Address
4820 Lake Street, Lake Charles, LA 70605
louisianalicensing.com
ID 22010908
LAST UPDATED 2026-04-28 11:03:27 UTC
LAST UPDATED 2026-04-28 11:03:27 UTC