Louisiana
Board of Licensing
CHANCE MICKEY T
Medical
License number
CLP.G01696-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1501 Kings Hwy., Shreveport, LA 71103
louisianalicensing.com
ID 21793629
LAST UPDATED 2024-04-09 18:55:38 UTC
LAST UPDATED 2024-04-09 18:55:38 UTC