Louisiana
Board of Licensing
CHAMPAGNE LANCE JOSEPH
Medical
License number
ATH.200036
Date expires
06/30/2015
Class
Medical
Status
Active
Address
Willis Knighton Hlth System, 8001 YOUREE DRIVE, SHREVEPORT, LA 71115
louisianalicensing.com
ID 21761908
LAST UPDATED 2024-02-23 04:14:12 UTC
LAST UPDATED 2024-02-23 04:14:12 UTC