Louisiana
Board of Licensing
MATHERNE SHANA MARIE
Medical
License number
OTA.200019
Date expires
08/31/2015
Class
Medical
Status
Active
Address
2100 INDUSTRIAL BLVD., HOUMA, LA 70363
louisianalicensing.com
ID 21984387
LAST UPDATED 2024-02-18 11:17:40 UTC
LAST UPDATED 2024-02-18 11:17:40 UTC