Louisiana
Board of Licensing
Page Phillip A.
Medical
License number
ATH.J00077
Date expires
06/30/2015
Class
Medical
Status
Active
Address
18422 Green Willow Dr., Baton Rouge, LA 70817
louisianalicensing.com
ID 21763537
LAST UPDATED 2026-05-01 04:25:30 UTC
LAST UPDATED 2026-05-01 04:25:30 UTC