Louisiana
Board of Licensing
Costanza Clint Michael
Medical
License number
PA.200436.RX
Date expires
05/31/2015
Class
Medical
Status
Active
Address
9001 Summa Ave., Baton Rouge, LA 70809
louisianalicensing.com
ID 22002958
LAST UPDATED 2024-04-23 00:17:56 UTC
LAST UPDATED 2024-04-23 00:17:56 UTC