License holder summary

Formica Marisa is a Medical licensed to practice in Louisiana. The address on file for Formica Marisa is 101 St. Andrews Lane, Glen Cove, NY 11542.

Louisiana

Board of Licensing

Formica Marisa
Medical
License number
MD.207055
Date expires
09/30/2015
Class
Medical
Status
Active
Address
101 St. Andrews Lane, Glen Cove, NY 11542
louisianalicensing.com
ID 21909301
LAST UPDATED 2026-05-29 03:37:46 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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