Louisiana
Board of Licensing
CHAMPAGNE MICKEY G
Medical
License number
CLP.G01392-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
UNIVERSITY MEDICAL CENTER, LABORATORY 113, LAFAYETTE, LA 70501
louisianalicensing.com
ID 21793607
LAST UPDATED 2024-02-17 20:04:37 UTC
LAST UPDATED 2024-02-17 20:04:37 UTC