Louisiana
Board of Licensing
White Maria Alexandria
Medical
License number
ATH.200220
Date expires
06/30/2015
Class
Medical
Status
Active
Address
Village Green Apartment, 2700 Ernest St Apt 222, Lake Charles, LA 70601
louisianalicensing.com
ID 21763943
LAST UPDATED 2024-03-19 14:15:38 UTC
LAST UPDATED 2024-03-19 14:15:38 UTC