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 2026-06-24 22:02:30 UTC
LAST UPDATED 2026-06-24 22:02:30 UTC