Louisiana
Board of Licensing
MIRE HOLLY BOURQUE
Medical
License number
OTT.Z11991
Date expires
10/31/2014
Class
Medical
Status
Active
Address
600 RUE DE BRILLE, LAFAYETTE, LA 70560
louisianalicensing.com
ID 21995985
LAST UPDATED 2024-03-15 11:20:15 UTC
LAST UPDATED 2024-03-15 11:20:15 UTC