Louisiana
Board of Licensing
RUSSELL DEBORAH BIRDWELL
Medical
License number
OTA.200035
Date expires
11/30/2014
Class
Medical
Status
Active
Address
2105 Mockingbird Lane, Bossier City, LA 71111
louisianalicensing.com
ID 21985544
LAST UPDATED 2026-05-05 12:56:30 UTC
LAST UPDATED 2026-05-05 12:56:30 UTC