Louisiana
Board of Licensing
Butler Jacqueline Fontenot
Medical
License number
MD.206671
Date expires
01/31/2015
Class
Medical
Status
Active
Address
1501 Kings Hwy, Shreveport, LA 71103
louisianalicensing.com
ID 21888501
LAST UPDATED 2024-05-03 08:06:04 UTC
LAST UPDATED 2024-05-03 08:06:04 UTC