Louisiana
Board of Licensing
FAWCETT MICHELLE GILLARD
Medical
License number
CRT.LT2335
Date expires
05/31/2015
Class
Medical
Status
Active
Address
2880 Hwy 171, Suite A, LAKE CHARLES, LA 70611
louisianalicensing.com
ID 21853964
LAST UPDATED 2024-04-16 23:08:11 UTC
LAST UPDATED 2024-04-16 23:08:11 UTC