Louisiana
Board of Licensing
Lake Brad Michael
Medical
License number
MD.205375
Date expires
02/28/2015
Class
Medical
Status
Active
Address
15813 Paul Vega MD Drive, Hammond, LA 70404
louisianalicensing.com
ID 21934155
LAST UPDATED 2026-04-18 12:04:22 UTC
LAST UPDATED 2026-04-18 12:04:22 UTC