Louisiana
Board of Licensing
Matte Ellen Constance
Medical
License number
CLP.L02758-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1911 S. BOREL DR, LAKE CHARLES, LA 70611
louisianalicensing.com
ID 21830260
LAST UPDATED 2026-07-06 14:33:43 UTC
LAST UPDATED 2026-07-06 14:33:43 UTC