Louisiana
Board of Licensing
Grantham, Kirk A.
Medical
License number
MD.205467
Date expires
08/31/2015
Class
Medical
Status
Active
Address
2300 Hospital Dr. Ste 130, Bossier City, LA 71111
louisianalicensing.com
ID 21914839
LAST UPDATED 2024-04-02 12:34:39 UTC
LAST UPDATED 2024-04-02 12:34:39 UTC