Louisiana
Board of Licensing
WILLIS MIRANDA G.
Medical
License number
LRT.000141
Date expires
06/30/2015
Class
Medical
Status
Active
Address
524 Dr. Debakey Drive, Lake Charles, LA 70601-5725
louisianalicensing.com
ID 21873695
LAST UPDATED 2026-05-17 21:36:51 UTC
LAST UPDATED 2026-05-17 21:36:51 UTC