Louisiana
Board of Licensing
VIDRINE ANNEYSA MILLER
Medical
License number
CLP.G04253-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
825 Kaliste Salcom Rd, Brandy Wine 1 suite 100, Lafayette, LA 70508
louisianalicensing.com
ID 21817552
LAST UPDATED 2024-04-02 12:10:31 UTC
LAST UPDATED 2024-04-02 12:10:31 UTC