Louisiana
Board of Licensing
Burgoyne Michelle Anne
Medical
License number
PA.200211.RX
Date expires
10/31/2015
Class
Medical
Status
Active
Address
3217 Mabel Street, Shreveport, LA 71103
louisianalicensing.com
ID 22002377
LAST UPDATED 2024-03-19 14:05:05 UTC
LAST UPDATED 2024-03-19 14:05:05 UTC