Louisiana
Board of Licensing
Menendez-Azel Mark Alexander
Medical
License number
PA.200536
Date expires
02/28/2015
Class
Medical
Status
Active
Address
1585 3rd St., Fort Polk, LA 71459
louisianalicensing.com
ID 22006836
LAST UPDATED 2026-03-29 00:36:25 UTC
LAST UPDATED 2026-03-29 00:36:25 UTC