Louisiana
Board of Licensing
JIMENEZ ENRIQUE ALBERTO
Medical
License number
MD.14048R
Date expires
04/30/2015
Class
Medical
Status
Active
Address
510 E. Stoner Ave, Shreveport, LA 71101
louisianalicensing.com
ID 21926144
LAST UPDATED 2024-01-18 23:06:38 UTC
LAST UPDATED 2024-01-18 23:06:38 UTC