Louisiana
Board of Licensing
MIRA CONCHITA AIREEN
Medical
License number
OTT.200210
Date expires
04/30/2015
Class
Medical
Status
Active
Address
SYNERGY CARE, INC, 127 WEST BROAD ST., SUITE 850, LAKE CHARLES, LA 70601
louisianalicensing.com
ID 21995980
LAST UPDATED 2024-04-04 20:59:59 UTC
LAST UPDATED 2024-04-04 20:59:59 UTC