Louisiana
Board of Licensing
FORREST MARIBETH
Medical
License number
PA.200095
Date expires
02/28/2015
Class
Medical
Status
Active
Address
2800 Hearne Ave., Shreveport, LA 71103
louisianalicensing.com
ID 22004082
LAST UPDATED 2024-02-17 23:38:00 UTC
LAST UPDATED 2024-02-17 23:38:00 UTC