Louisiana
Board of Licensing
DOMINGUES BEVERLY A
Medical
License number
CLP.P00294-PHL
Date expires
12/31/2014
Class
Medical
Status
Active
Address
4906 Ambassador Caffery Pkwy, Ste 301, Lafayette, LA 70503
louisianalicensing.com
ID 21839762
LAST UPDATED 2026-04-15 07:17:00 UTC
LAST UPDATED 2026-04-15 07:17:00 UTC