Louisiana
Board of Licensing
MANNINA DEAN MICHAEL
Medical
License number
ATH.J00370
Date expires
06/30/2015
Class
Medical
Status
Active
Address
3200 WOODLAND RIDGE BLVD, BATON ROUGE, LA 70816
louisianalicensing.com
ID 21763399
LAST UPDATED 2024-02-12 16:45:01 UTC
LAST UPDATED 2024-02-12 16:45:01 UTC