Louisiana
Board of Licensing
LATHAN NICOLE L
Medical
License number
OTA.200103
Date expires
03/31/2015
Class
Medical
Status
Active
Address
301 W FERRITA STREET, LEESVILLE, LA 71446
louisianalicensing.com
ID 21983669
LAST UPDATED 2026-04-30 12:45:40 UTC
LAST UPDATED 2026-04-30 12:45:40 UTC