Louisiana
Board of Licensing
Wilde Johanna Moon
Medical
License number
MD.205810
Date expires
11/30/2014
Class
Medical
Status
Active
Address
1401 Foucher St., New Orleans, LA 70115
louisianalicensing.com
ID 21976068
LAST UPDATED 2026-04-28 19:14:03 UTC
LAST UPDATED 2026-04-28 19:14:03 UTC