Louisiana
Board of Licensing
MIXON TAMMY M
Medical
License number
CLP.G02536-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Blood Bank LSU Bogalusa Medical Center, 433 Plaza Street, Bogalusa, LA 70427
louisianalicensing.com
ID 21810652
LAST UPDATED 2024-05-16 22:42:32 UTC
LAST UPDATED 2024-05-16 22:42:32 UTC