Louisiana
Board of Licensing
GRAVES SHANTELLE ALTAZAN
Medical
License number
RRT.L01673
Date expires
01/31/2015
Class
Medical
Status
Active
Address
Our Lady of The Lake Regional Medical Center 5000 Hennessy Blvd, Baton Rouge, LA 70808
louisianalicensing.com
ID 22015703
LAST UPDATED 2024-02-10 03:53:58 UTC
LAST UPDATED 2024-02-10 03:53:58 UTC