Louisiana
Board of Licensing
FUQUA RANDALL LANE
Medical
License number
CRT.LT2547
Date expires
01/31/2015
Class
Medical
Status
Active
Address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3899
louisianalicensing.com
ID 21854285
LAST UPDATED 2026-04-12 12:43:18 UTC
LAST UPDATED 2026-04-12 12:43:18 UTC