Louisiana
Board of Licensing
Parish Tracie Rena
Medical
License number
ATH.200153
Date expires
06/30/2015
Class
Medical
Status
Active
Address
SLU, Dept of Kinesiology, SLU Box 10845, Hammond, LA 70402
louisianalicensing.com
ID 21763538
LAST UPDATED 2026-05-14 03:43:48 UTC
LAST UPDATED 2026-05-14 03:43:48 UTC