Louisiana
Board of Licensing
MORENO JAVIER ERNESTO
Medical
License number
OTT.Z11550
Date expires
01/31/2015
Class
Medical
Status
Active
Address
North Lake Supports and Services Center, 45439 Live Oak Dr., Hammond, LA 70401
louisianalicensing.com
ID 21996247
LAST UPDATED 2024-03-06 18:43:50 UTC
LAST UPDATED 2024-03-06 18:43:50 UTC