Louisiana
Board of Licensing
Jimenez, Theresita Gacusana
Medical
License number
MD.014945
Date expires
07/31/2015
Class
Medical
Status
Active
Address
3034 Ray Weiland Dr., Baker, LA 70714-3252
louisianalicensing.com
ID 21926151
LAST UPDATED 2024-04-16 06:05:01 UTC
LAST UPDATED 2024-04-16 06:05:01 UTC