OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical Examiners, 630 Camp Street, New Orleans, LA 70130 (504) 568-6820 Last Updated: December 2016 BRYAN EDWARD BAUDOIN DO ACUPUNCTURE License ACU.200013 10/31/2017 Acadia General Hospital 1305 RAYNE CROWLEY HIGHWAY CROWLEY LA 70526 MARIA M. BRAUD MD ACUPUNCTURE License 301843 12/31/2016 970 S Acadia Rd.Ste C Thibodaux LA 70301 ROSCOE HO KEUNG CHAN MD ACUPUNCTURE License ACU.200014 12/31/2017 PROMAS, LLC 1453 E BERT KOUNS IND LOOP DEPT OF RADIATION ONCOLOGY, CHRISTUS HIGHLAND CANCER CENTER Shreveport LA 71105 TAMMY J. DAVIS MD ACUPUNCTURE License ACU.C10012 12/31/2016 LSUHSC Shreveport 1501 Kings Hwy. Shreveport LA 71130 BART GHISLAIN DENYS MD ACUPUNCTURE License ACU.200015 12/31/2016 1320 Martin Luther King Dr. Thibodaux LA 70301-4500 AARON JACOB FRIEDMAN MD ACUPUNCTURE License ACU.200021 12/31/2017 AARON J. FRIEDMAN, MD 2801 Napoleon Ave. New Orleans LA 70115 COLLEEN CALHOUN FULLER MD ACUPUNCTURE License 303629 12/31/2017 8001 Youree Dr. Shreveport LA 71115 WEI GUO MD ACUPUNCTURE License ACU.200017 4/30/2017 Family Medicine & Acupuncture 527 W ESPLANADE AVE SUITE 100 KENNER LA 70065 MAUREEN JEAN HECKER MD ACUPUNCTURE License 303956 12/31/2017 Meridian Integrative Medicine 3715 PRYTANIA STREET SUITE 500 New Orleans LA 70115 LISA SU LEE-ALEVIZON MD ACUPUNCTURE License ACU.C10006 12/31/2016 Holistic Health Medical Center 567 CORPORATE DR HOUMA LA 70360 GERALD J. LEGLUE JR MD ACUPUNCTURE License ACU.200012 12/31/2016 Gerald J. Leglue, Jr., MD, LAc 1270 SOUTHAMPTON DRIVE Alexandria LA 71303 LAURA LEIGH MC CLINTOCK DO ACUPUNCTURE License ACU.200002 12/31/2017 2620 CENTENARY BLVD.,BLDG. 2 STE 208 Shreveport LA 71104 DAVID LEE NELSON MD ACUPUNCTURE License ACU.200004 12/31/2017 LSU Health 1501 Kings Hwy. Shreveport LA 71103-4209 CARL DAYTON ROBINSON MD ACUPUNCTURE License ACU.200010 12/31/2016 Medical Acupuncture LLC 304 West Honors Point Courtq SLIDELL LA 70458 HENRI J. ROCA MD ACUPUNCTURE License ACU.200005 12/31/2017 OneMedicine Wellness Services 6929 JFK BLVD. STE 20-186 North Little Rock AR 72116 ERIC INMAN ROYSTER MD ACUPUNCTURE License ACU.200022 12/31/2016 Integrated Pain and Neuroscience 2801 Napoleon Ave. New Orleans LA 70115 MARSHALL H. SOMMERS MD ACUPUNCTURE License ACU.200019 12/31/2016 508 SUNSET BLVD Baton Rouge LA 70808 CANDACE BURNETTE WARNER MD ACUPUNCTURE License ACU.C10010 7/31/2017 2223 QUAIL RUN DR STE H2 BATON ROUGE LA 70808 JOANNE M. WHITTY MD ACUPUNCTURE License ACU.C10011 10/31/2017 401 Adams St. New Orleans LA 70118 KENNETH WILLIAMS MD ACUPUNCTURE License ACU.200011 7/31/2017 Restorative Care Health Center, LLC 104 3RD ST. SUITE 112 ALEXANDRIA LA 71301 SHOU HUA XIA ACUPUNCTURE License ACU.200001 12/31/2016 Natural Therapies Center 888 TARA BLVD SUITE G Baton Rouge LA 70806 LIHUA ZHANG MD ACUPUNCTURE License ACU.200020 12/31/2016 Zen acupuncture and pain management LLC 2307 OCTAVIA ST. NEW ORLEANS LA 70115 TINA LITTLE BANNER ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000011 12/31/2016 BPM 3228 N TURNBULL DRIVE Metairie LA 70002 STEVEN W. COOK ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000018 12/31/2017 Steven W. Cook 624 MURRAY ST. ALEXANDRIA LA 71301 COLLEEN ROSE CURRAN ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000003 12/31/2016 P O BOX 597 Mandeville LA 70470 SANDRA A. DIXON ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000006 12/31/2016 kIM Acupuncture Clinic 8021 Green St. New Orleans LA 70118 JEANNE DUMESTRE ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000001 12/31/2016 BELINDA KENT EDWARDS ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000009 12/31/2016 620 S. 3rd St. Leesville LA 71446 LAWRENCE HENRY GOBBLE ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000023 12/31/2017 Lawrence Henry Gobble, LMT 1735 Elysian Fields Ave. New Orelans LA 70117 EVA MARIA HURST ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000020 12/31/2017 253 Aurora Avenue Metairie LA 70005 CATHERINE E LASPERCHES ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000004 12/31/2016 Lsuhn 3700 St. Charles Ave. New Orleans LA 70115 PAMELA MICHELE LASTER ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000024 12/31/2017 1738 W. Kentucky Ave Ruston LA 71270 IRENE T MADRID-JOYCE ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000022 12/31/2016 4150 Earhart New Orleans LA 70125 MYRTY ALFONSO MENDOZA ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License 301333 12/31/2017 2408 Kenilworth Drive St Bernard LA 70085 SARAH HART PETERSON ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000010 12/31/2016 JENNIFER LYNN STOVALL ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000016 12/31/2016 1036 FRANKLIN AVENUE NEW ORLEANS LA 70117 ADRIANNE LEE TROGDEN ACUPUNCTURE DETOXIFICATION SPECIALIST License 303906 12/31/2017 JENNIFER WHITNEY ACA ACUPUNCTURE DETOXIFICATION SPECIALIST License ADS.000008 12/31/2016 DANIELLE RENEE ADAM ATHLETIC TRAINER License ATH.200325 6/30/2017 602 N. Acadia Road Thibodaux LA 70301
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
BRYAN EDWARD BAUDOIN DO ACUPUNCTURE License ACU.200013 10/31/2017
Acadia General Hospital 1305 RAYNE CROWLEY HIGHWAY CROWLEY LA
70526
MARIA M. BRAUD MD ACUPUNCTURE License 301843 12/31/2016 970 S
Acadia Rd.Ste C Thibodaux LA 70301
ROSCOE HO KEUNG CHAN MD ACUPUNCTURE License ACU.200014 12/31/2017
PROMAS, LLC 1453 E BERT KOUNS IND LOOP DEPT OF RADIATION ONCOLOGY,
CHRISTUS
HIGHLAND CANCER CENTER Shreveport LA 71105
TAMMY J. DAVIS MD ACUPUNCTURE License ACU.C10012 12/31/2016 LSUHSC
Shreveport 1501 Kings Hwy. Shreveport LA 71130
BART GHISLAIN DENYS MD ACUPUNCTURE License ACU.200015 12/31/2016
1320 Martin Luther King Dr. Thibodaux LA 70301-4500
AARON JACOB FRIEDMAN MD ACUPUNCTURE License ACU.200021 12/31/2017
AARON J. FRIEDMAN, MD 2801 Napoleon Ave. New Orleans LA 70115
COLLEEN CALHOUN FULLER MD ACUPUNCTURE License 303629 12/31/2017
8001 Youree Dr. Shreveport LA 71115
WEI GUO MD ACUPUNCTURE License ACU.200017 4/30/2017 Family Medicine
& Acupuncture 527 W ESPLANADE AVE SUITE 100 KENNER LA
70065
MAUREEN JEAN HECKER MD ACUPUNCTURE License 303956 12/31/2017
Meridian Integrative Medicine 3715 PRYTANIA STREET SUITE 500 New
Orleans LA 70115
LISA SU LEE-ALEVIZON MD ACUPUNCTURE License ACU.C10006 12/31/2016
Holistic Health Medical Center 567 CORPORATE DR HOUMA LA
70360
GERALD J. LEGLUE JR MD ACUPUNCTURE License ACU.200012 12/31/2016
Gerald J. Leglue, Jr., MD, LAc 1270 SOUTHAMPTON DRIVE Alexandria LA
71303
LAURA LEIGH MC CLINTOCK DO ACUPUNCTURE License ACU.200002
12/31/2017 2620 CENTENARY BLVD.,BLDG. 2 STE 208 Shreveport LA
71104
DAVID LEE NELSON MD ACUPUNCTURE License ACU.200004 12/31/2017 LSU
Health 1501 Kings Hwy. Shreveport LA 71103-4209
CARL DAYTON ROBINSON MD ACUPUNCTURE License ACU.200010 12/31/2016
Medical Acupuncture LLC 304 West Honors Point Courtq SLIDELL LA
70458
HENRI J. ROCA MD ACUPUNCTURE License ACU.200005 12/31/2017
OneMedicine Wellness Services 6929 JFK BLVD. STE 20-186 North
Little Rock AR 72116
ERIC INMAN ROYSTER MD ACUPUNCTURE License ACU.200022 12/31/2016
Integrated Pain and Neuroscience 2801 Napoleon Ave. New Orleans LA
70115
MARSHALL H. SOMMERS MD ACUPUNCTURE License ACU.200019 12/31/2016
508 SUNSET BLVD Baton Rouge LA 70808
CANDACE BURNETTE WARNER MD ACUPUNCTURE License ACU.C10010 7/31/2017
2223 QUAIL RUN DR STE H2 BATON ROUGE LA 70808
JOANNE M. WHITTY MD ACUPUNCTURE License ACU.C10011 10/31/2017 401
Adams St. New Orleans LA 70118
KENNETH WILLIAMS MD ACUPUNCTURE License ACU.200011 7/31/2017
Restorative Care Health Center, LLC 104 3RD ST. SUITE 112
ALEXANDRIA LA 71301
SHOU HUA XIA ACUPUNCTURE License ACU.200001 12/31/2016 Natural
Therapies Center 888 TARA BLVD SUITE G Baton Rouge LA 70806
LIHUA ZHANG MD ACUPUNCTURE License ACU.200020 12/31/2016 Zen
acupuncture and pain management LLC 2307 OCTAVIA ST. NEW ORLEANS LA
70115
TINA LITTLE BANNER ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000011 12/31/2016 BPM 3228 N TURNBULL DRIVE Metairie LA
70002
STEVEN W. COOK ACUPUNCTURE DETOXIFICATION SPECIALIST License
ADS.000018 12/31/2017 Steven W. Cook 624 MURRAY ST. ALEXANDRIA LA
71301
COLLEEN ROSE CURRAN ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000003 12/31/2016 P O BOX 597 Mandeville LA 70470
SANDRA A. DIXON ACUPUNCTURE DETOXIFICATION SPECIALIST License
ADS.000006 12/31/2016 kIM Acupuncture Clinic 8021 Green St. New
Orleans LA 70118
JEANNE DUMESTRE ADS ACUPUNCTURE DETOXIFICATION SPECIALIST License
ADS.000001 12/31/2016
BELINDA KENT EDWARDS ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000009 12/31/2016 620 S. 3rd St. Leesville LA
71446
LAWRENCE HENRY GOBBLE ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000023 12/31/2017 Lawrence Henry Gobble, LMT 1735
Elysian Fields Ave. New
Orelans LA 70117
CATHERINE E LASPERCHES ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000004 12/31/2016 Lsuhn 3700 St. Charles Ave. New
Orleans LA 70115
PAMELA MICHELE LASTER ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000024 12/31/2017 1738 W. Kentucky Ave Ruston LA
71270
IRENE T MADRID-JOYCE ACUPUNCTURE DETOXIFICATION SPECIALIST License
ADS.000022 12/31/2016 4150 Earhart New Orleans LA 70125
MYRTY ALFONSO MENDOZA ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License 301333 12/31/2017 2408 Kenilworth Drive St Bernard LA
70085
SARAH HART PETERSON ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000010 12/31/2016
JENNIFER LYNN STOVALL ADS ACUPUNCTURE DETOXIFICATION SPECIALIST
License ADS.000016 12/31/2016 1036 FRANKLIN AVENUE NEW ORLEANS LA
70117
ADRIANNE LEE TROGDEN ACUPUNCTURE DETOXIFICATION SPECIALIST License
303906 12/31/2017
JENNIFER WHITNEY ACA ACUPUNCTURE DETOXIFICATION SPECIALIST License
ADS.000008 12/31/2016
DANIELLE RENEE ADAM ATHLETIC TRAINER License ATH.200325 6/30/2017
602 N. Acadia Road Thibodaux LA 70301
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
TIMOTHY ANDREW ADAMS ATHLETIC TRAINER License 300159 6/30/2017
Northwestern State University 468 Caspari Drive Natchitoches LA
71497
WHITNEY A. ADAMS ATHLETIC TRAINER License ATH.200237 6/30/2017
North oaks sports medicine 15790 Paul Vega, MD Dr. Hammond LA
70403
BRANDON CHRISTOPHER ALDERMAN ATHLETIC TRAINER License ATH.200187
6/30/2017 7925 YOUREE DRIVE # 220 Shreveport LA 71105
RANDY LEE ALDRET ATHLETIC TRAINER License ATH.200224 6/30/2017
University of Louisiana at Lafayette 225 Cajundome Blvd BOURGEOIS
HALL, RM 136-A Lafayette LA 70506
LOREN ASHLEY ALEMAN ATHLETIC TRAINER License ATH.200280 6/30/2017
LA
ALEXIS JARREAU AMATO ATHLETIC TRAINER License 303132
6/30/2017
COLLEEN E. AMEDEE ATHLETIC TRAINER License ATH.200152 6/30/2017
Ochsner Sports Medicine Institute 1201 S Clearview Pkwy. Ste 104
Jefferson LA 70121
JASON MATTHEW ANDERSON ATHLETIC TRAINER License ATH.200229
6/30/2017 None None 123 NONE None LA 70123
ALEX ANTHONY ANGELLE ATHLETIC TRAINER License ATH.200381 6/30/2017
Acadiana Physical Therapy and Sports Medicine 1400 Rees St. Ste. D
Breaux Bridge LA 70517
JEREMY CHARLES ANGLE ATHLETIC TRAINER License ATH.200168 6/30/2017
Ochsner Clinic Foundation 1514 JEFFERSON HWY New Orleans LA
70121
MICHELLE HARRELL ANTHONY ATHLETIC TRAINER License ATH.200133
6/30/2017 Ochsner Sports Medicine Institute 1201 S Clearview Pkwy
Jefferson LA 70121
BENETH ARCENEAUX ATHLETIC TRAINER License ATH.J00321 6/30/2017
Acadian Comprehensive Therapy Specialist 484 ALBERTSON'S PKWY ,
SUITE A Broussard LA 70518
CHAD MARTIN ARCENEAUX ATHLETIC TRAINER License ATH.J00248 6/30/2017
1307 OLD JEANERETTE RD. STE. 102 1307 OLD JEANERETTE RD STE 102 NEW
IBERIA LA
70563
SCOTT ALLEN ARCENEAUX ATHLETIC TRAINER License ATH.J00147 6/30/2017
12035 HWY 431 ST AMANT LA 70774
STEFANIE SUSANNA ARCENEAUX ATHLETIC TRAINER License ATH.200086
6/30/2017 1307 Old Jeanerette Rd.Ste 102 New Iberia LA 70563
MARK S. ARMOUR II ATHLETIC TRAINER License ATH.200145 6/30/2017 1
DREXEL DR NEW ORLEANS LA 70125
HAILEE THERESE ATHMAN ATHLETIC TRAINER License 304060
6/30/2017
DAIMA JABRI ESI NSAFOWA ATINKAH ATHLETIC TRAINER License ATH.200422
6/30/2017 Natchitoches Regional Medical Center
JASON ROBERT AUCOIN ATHLETIC TRAINER License ATH.200001 6/30/2017
Tulane Institute of Sports Medicine 202 MCALISTER EXTENSION New
Orleans LA 70118
PETER CHARLES AUNE ATHLETIC TRAINER License ATH.200406 6/30/2017
University of New Orleans 6801 FRANKLIN AVE NEW ORLEANS LA
70122
BENJAMIN CALEB AUTHEMENT ATHLETIC TRAINER License 300760 6/30/2017
Merithealth Natchez 54 Seargent Prentiss Dr. Natchez MS 39120
JEHAN RHAE AYAP ATHLETIC TRAINER License ATH.200354 6/30/2017
LA
MARCELLA FONTENOT BABCOCK ATHLETIC TRAINER License ATH.J00128
6/30/2017 Runnels School 17255 South Harrell's Ferry Road Baton
Rouge LA 70816
APRIL ARCENEAUX BAIZE ATHLETIC TRAINER License 300369 6/30/2017
North Oaks Medical Center 15790 Medical Center Dr. Hammond LA
70403
JEANNE MARIE BALDWIN ATHLETIC TRAINER License ATH.J00274 6/30/2017
Ochsner 104 MEDICAL CENTER DR. Slidell LA 70461
PAUL ALLEN BALLARD ATHLETIC TRAINER License ATH.200113
6/30/2017
CANDACE R. BANKS ATHLETIC TRAINER License ATH.200271 6/30/2017
Terrebonne General Medical Center 8166 Main St. Houma LA
70360
RYAN PAUL BARBIER ATHLETIC TRAINER License ATH.200498 6/30/2017
South Lafourche High School 16911 E Main St Cut Off LA 70345
ANDREW BARKER ATHLETIC TRAINER License ATH.J00177 6/30/2017 N.
Stadium Dr. ATHLETIC ADMINISTRATION BLDG Baton Rouge LA 70803
CONNIE C. BARKER ATHLETIC TRAINER License ATH.200323 6/30/2017
NCISD 21650 Loop 494 New Caney TX 77357
ANGELA MARIE BARRIOS ATHLETIC TRAINER License 301214
6/30/2017
BRITTANEE LYNN BARTLES ATHLETIC TRAINER License 300827 6/30/2017
Dowell Fontenot Sports Medicine Center Box 92735 Lake Charles LA
70609
DENISE SHERIE BATES ATHLETIC TRAINER License ATH.200174 6/30/2017
UN EMPLOYEED DECATUR AL 35601
STACEY RENEA BEAMON ATHLETIC TRAINER License ATH.200005 6/30/2017
4635 ANNETTE ST NEW ORLEANS LA 70122-3205
CATHERINE LLOYD BECKEMEYER ATHLETIC TRAINER License ATH.200486
6/30/2017 University of Louisiana at Lafayette 202 REINHARDT DR
Lafayette LA 70506
KATIE ROSALIE BECNEL ATHLETIC TRAINER License 303404
6/30/2017
SARAH O BEERBOHM ATHLETIC TRAINER License ATH.200161 6/30/2017
Currently unemployed (my current home address is below) 100 Gilmore
Circle Covington LA 70433
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
ZACHARY WILDER BENJAMIN ATHLETIC TRAINER License 301619 6/30/2017
Orthopedic and Sports Therapy of Metairie 701 Metairie Rd, #1a
Metairie LA 70005
AMANDA ANDREWS BENSON ATHLETIC TRAINER License ATH.200453 6/30/2017
Louisiana State University- School of Kinesiology 112 Huey P. Long
Fieldhouse Baton Rouge LA
70803
SAMANTHA KENZIE BEQUETTE ATHLETIC TRAINER License 303844
6/30/2017
JEFFREY JOSEPH BERGER JR ATHLETIC TRAINER License ATH.200365
6/30/2017
ALEXANDER MICHAEL BERNARD ATHLETIC TRAINER License ATH.200426
6/30/2017
CARY LYNN BERTHELOT ATHLETIC TRAINER License ATH.J00310 6/30/2017
Tulane Institute of Sports Medicine 202 JANET YULMAN WAY NEW
ORLEANS LA 70118
MARIA CLARK BERTHIAUME ATHLETIC TRAINER License ATH.200474
6/30/2017 Louisiana State University S Stadium Drive Baton Rouge LA
70820
CYD A. BERTRAND ATHLETIC TRAINER License ATH.200055 6/30/2017
Ochsner Sports Medicine 1201 S Clearview Pkwy. New Orleans LA
70126
JULIE BEVERIDGE ATHLETIC TRAINER License ATH.200495 6/30/2017
University of Louisiana at Monroe 308 Warhawk Way Monroe LA
71209
JERRY DALE BLACKWELL JR ATHLETIC TRAINER License ATH.J00235
6/30/2017 Lafourche Parish School Board THIBODAUX HIGH SCHOOL 1355
TIGER DR THIBODAUX LA
70301
JORDAN E. BLOUGH ATHLETIC TRAINER License ATH.200209 6/30/2017
Ochsner Sports Medicine Institute 1201 S Clearview Pkwy. 104
Jefferson LA 70121
BRIAN PEARCE BOBIER ATHLETIC TRAINER License 301626 6/30/2017 6000
AIRLINE DRIVE METAIRIE LA 70003
ERIN LEIGH BOLIN ATHLETIC TRAINER License ATH.200368 6/30/2017
Willis Knighton Health System 7925 Youree Dr. #220 Shreveport LA
71105
ROBERTA JANE BOONE ATHLETIC TRAINER License ATH.200031 6/30/2017
3417 Patrick St LAKE CHARLES LA 70605
NATHAN T. BORGET ATHLETIC TRAINER License ATH.200126 6/30/2017
North Oaks Health Systems 800 Galloway Dr. Hammond LA 70402
BRENT DAVID BOUDREAUX ATHLETIC TRAINER License ATH.J00109 6/30/2017
St Landry Parish Schools 7076 HWY 93 Arnaudville LA 70512
JOHN DANIEL BOUDREAUX ATHLETIC TRAINER License ATH.J00368 6/30/2017
Acadiana Physical Therapy and Sports Medicine 816 HARDING ST.
Lafayette LA 70503
STEPHANIE MAYEAUX BOUDREAUX ATHLETIC TRAINER License ATH.J00317
6/30/2017 1019 AUBURN AVE
OLIVIA CECILE BOURGEOIS ATHLETIC TRAINER License 300039 6/30/2017
The Dunham School 11111 Roy Emerson Drive Baton Rouge LA
70810
DAVID K. BOURQUE ATHLETIC TRAINER License ATH.J00261 6/30/2017 1000
N RANGE AVE. Denham Springs LA 70726
ALEXANDER MATTHEW BOWERS ATHLETIC TRAINER License 302895 6/30/2017
800 GALLOWAY DRIVE HAMMOND LA 70402
MACKENZIE CHRISTINE BOWMAN ATHLETIC TRAINER License ATH.200252
6/30/2017 St. Joseph's Academy 3015 S. BROUSSARD ST. Baton Rouge LA
70808
JAMES MICHAEL BRANCH ATHLETIC TRAINER License ATH.J00042 6/30/2017
1200 ENTERPRISE BLVD LAKE CHARLES LA 70601
CASEY ELISE BREAUX ATHLETIC TRAINER License 300832 6/30/2017
DAMIAN L. BREAUX ATHLETIC TRAINER License ATH.200156 6/30/2017 110
Travis St. Ste 122 Lafayette LA 70503
CHRISTOPHER VAN BRISTER ATHLETIC TRAINER License ATH.J00277
6/30/2017 Ruston High School 900 BEARCAT DR Ruston LA 71270
KARI BRODY ATHLETIC TRAINER License ATH.200480 6/30/2017 McNeese
State University P.O. BOX 92735 Lake Charles LA 70609
DUANE DALANTE BROOKS ATHLETIC TRAINER License ATH.200207 6/30/2017
New Orleans Saints 5800 AIRLINE DR Metairie LA 70003
JACOB PAUL BROUSSARD ATHLETIC TRAINER License ATH.200192 6/30/2017
Louisiana Athletic Care 1307 OLD JEANERETTE RD New Iberia LA
70563
MICHAEL ELDEN BRUNET II ATHLETIC TRAINER License ATH.J00337
6/30/2017 1140 COLLEGE DRIVE PO BOX 563 PINEVILLE LA 71359
ASHLEY ELIZABETH BRYANT ATHLETIC TRAINER License ATH.200115
6/30/2017 PEABODY MAGNET HIGH SCHOOL 2727 JONES AVE ALEXANDRIA LA
71302
ERNEST W. BUECHE II ATHLETIC TRAINER License ATH.200171 6/30/2017
Holmes Community College PO Box 369 Goodman MS 39079
RACHEL NICOLE BURDETTE ATHLETIC TRAINER License ATH.200348
6/30/2017 Ochsner Sports Medicine Institute 1201 S. Clearview Pkwy.
Jefferson LA 70121
SHANNON ELIZABETH BURKE ATHLETIC TRAINER License 301948 6/30/2017
Louisiana Tech University PO Box 3156 Ruston LA 71272
STASIA MARIE BURROUGHS ATHLETIC TRAINER License ATH.200504
6/30/2017 Beauregard Memorial Hospital 600 S. Pine Street DeRidder
LA 70634
BETHANY N. BURST ATHLETIC TRAINER License ATH.200285 6/30/2017
Louise S. McGehee School 2343 Prytania St. New Orleans LA
70130
MARTIN ALLEN CAINE ATHLETIC TRAINER License ATH.200502 6/30/2017
McNeese State University 4444205 Ryan Street Lake Charles LA
70605
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
DEREK DAVID CALVERT ATHLETIC TRAINER License ATH.200344 6/30/2017
LSU Athletic Training NORTH STADIUM DRIVE Baton Rouge LA
70803
CHRISTIAN MARK CAMPBELL ATHLETIC TRAINER License ATH.J00272
6/30/2017 Christus Health 1453 E Bert Kouns Shreveport LA
71105
RAYMOND G. CAMPBELL ATHLETIC TRAINER License ATH.200065 6/30/2017
River Region Rehab 12371 Hwy 90, Ste D Luling LA 70070
RUSSELL PAUL CARLISLE ATHLETIC TRAINER License ATH.200033 6/30/2017
Ochsner Sports Medicine 1201 S. CLEARVIEW PKWY. JEFFERSON LA
70121
RACHEL VIRGINIA CARLSON ATHLETIC TRAINER License ATH.200473
6/30/2017 McNeese State University 700 E. McNeese St. Lake Charles
LA 70609
JEFFREY NELSON CARPENTER ATHLETIC TRAINER License 303075 6/30/2017
700 E. MCNEESE STREET LAKE CHARLES LA 70609
LISA CATHERINE CARROLL ATHLETIC TRAINER License ATH.200128
6/30/2017 1200 PINNACLE PARKWAY COVINGTON LA 70433
SEAN MICHAEL CARTER ATHLETIC TRAINER License ATH.200472 6/30/2017
P.O. Box 25095 Baton Rouge LA 70894-5095
DIANA MARIE CASALI ATHLETIC TRAINER License 303160 6/30/2017
AMELIA STARR CASTELL ATHLETIC TRAINER License ATH.200102 6/30/2017
Thibodaux Regional Medical Center P O Box 1118 Thibodaux LA
70302-1118
RALPH RAY CASTLE ATHLETIC TRAINER License ATH.J00129 6/30/2017
Lousiana State University School of Kinesiology 112 HUEY P. LONG
FIELDHOUSE BATON ROUGE LA
70803
LANCE JOSEPH CHAMPAGNE ATHLETIC TRAINER License ATH.200036
6/30/2017 8001 YOUREE DRIVE SHREVEPORT LA 71115
ALLAN BRIAN CHASE ATHLETIC TRAINER License ATH.200358 6/30/2017
University of New Orleans 6801 Franklin Ave. New Orleans LA
70122
CRAIG M. CHENEVERT ATHLETIC TRAINER License ATH.200448 6/30/2017
Natchitoches Regional Medical Center 501 Keyser Ave Natchitoches LA
71457
BRETT TIMOTHY CHIASSON ATHLETIC TRAINER License ATH.200347
6/30/2017 Terrebonne General Medical Center 8166 MAIN ST. Houma LA
70360
SHANE M. CHIASSON ATHLETIC TRAINER License ATH.200421 6/30/2017
Merit Health Natchez 54 Sgt. Prentiss Dr. Natchez MS 39120
SEAN PATRICK CLANCY ATHLETIC TRAINER License 303423 6/30/2017
JERICA JAHON' COLEMAN ATHLETIC TRAINER License 303648
6/30/2017
KARLI DEE COLLINS ATHLETIC TRAINER License 302109 6/30/2017
MICHELLE SANDY COLLINS ATHLETIC TRAINER License ATH.J00335
6/30/2017 P O BOX 25095 BATON ROUGE LA 70894-5095
DIANE BURCH CONNER ATHLETIC TRAINER License ATH.J00118
6/30/2017
AMY V COTHER ATHLETIC TRAINER License ATH.J00159 6/30/2017 1500 W
WILLOW STREET Scott LA 70583
CHAD MICHAEL COTHER ATHLETIC TRAINER License ATH.J00361 6/30/2017
Louisiana Athletic Care 110 TRAVIS ST., STE 122 Lafayette LA
70503
AARON ARMEL COURVILLE ATHLETIC TRAINER License ATH.200119 6/30/2017
Christus Highland Medical Center 1453 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT LA
71105
JOSHUA ROBERT BROCK COX ATHLETIC TRAINER License ATH.200413
6/30/2017 Willis Knighton North 2600 GREENWOOD RD. Shreveport LA
71103
CHRISTIN MARIE CRADER ATHLETIC TRAINER License 302344
6/30/2017
BRYN WILSON CROWDER ATHLETIC TRAINER License 303077 6/30/2017
STEPHANIE ALENE CULBERTSON ATHLETIC TRAINER License ATH.200206
6/30/2017
BYRON CONRAD DAIGLE ATHLETIC TRAINER License ATH.200004 6/30/2017
Ascension Episcopal School 1800 CHEMIN METAIRIE YOUNGSVILLE LA
70592
KANE JOSEPH DAIGLE ATHLETIC TRAINER License ATH.200465 6/30/2017
Mcneese State University 700 east mcneese st. Lake Charles LA
70609
KEITH SCOTT DALTON ATHLETIC TRAINER License ATH.200255 6/30/2017
Iberia Sports and Rehab 1302 OLD JEANERETTE RD STE 102 New Iberia
LA 70563
LARRY M. D'ANTONI ATHLETIC TRAINER License ATH.J00025 6/30/2017
Thibodaux Regional Medical Center 602 N Acadia Rd. Thibodaux LA
70301
EVAN MICHAEL DAUTERIVE ATHLETIC TRAINER License ATH.200454
6/30/2017 Thibodaux Regional Medical Center 602 N. Acadia Road
Thibodaux LA 70301
ANNELISE ISABELLE DAVIES ATHLETIC TRAINER License ATH.200506
6/30/2017 Southeastern Louisiana University 500 Western Avenue
Hammond LA 70402
DANIELLE JANAE DAVIS ATHLETIC TRAINER License ATH.200399 6/30/2017
McNeese State University 700 E. MCNEESE ST. Lake Charles LA
70605
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
KAITLIN SIMONE DAVIS ATHLETIC TRAINER License 303187 6/30/2017
Episcopal School of Acadiana PO Box 380 Cade LA 70519
ROBERT B. DAVIS ATHLETIC TRAINER License ATH.200101 6/30/2017
University of Louisiana - Lafayette 202 REINHARDT DR. Lafayette LA
70506-4297
JOSHUA KELVIN DAWSEY ATHLETIC TRAINER License ATH.200197
6/30/2017
OLIVER THOMAS DEAN III ATHLETIC TRAINER License ATH.J00377
6/30/2017 Concussion Solutions, LLC P.O. BOX 737 Youngsville LA
70592
FRANK RAYMOND DECARLO IV ATHLETIC TRAINER License ATH.200501
6/30/2017 Nicholls State University 906 E. 1st Street Thibodaux LA
70301
COURTNEY LYNN DENOUX ATHLETIC TRAINER License ATH.200390 6/30/2017
Ochsner Health System 1201 SOUTH CLEARVIEW PARKWAY JEFFERSON LA
70121
ANNIE CATHERINE DESCANT ATHLETIC TRAINER License ATH.J00133
6/30/2017 NORTHOAKS R S P O BOX 2668 HAMMOND LA 70404
EVELYN JEANELL DESSELLE ATHLETIC TRAINER License 301791
6/30/2017
ALEX HEATH DIBBLEY ATHLETIC TRAINER License ATH.J00288 6/30/2017
1509 Enterprise Blvd. Lake Charles LA 70601
BRANDI RUTH DODGE ATHLETIC TRAINER License ATH.200079 6/30/2017 LHC
Group 3983 I-49 South Service Road 2nd Floor Opelousas LA
70570
KATHERINE S. DOELL ATHLETIC TRAINER License ATH.200427 6/30/2017
Ochsner 1201 s clearview pkwy Metairie LA 70121
DELESSEPS P. DOLESE ATHLETIC TRAINER License ATH.J00233 6/30/2017
Ochsner Clinic Foundation-Ochsner Health Center Northshore
(Covington)-Sports Medicine-Slidell 1000
OCHSNER BLVD. Covington LA 70433
DAVID JOSEPH DOMINGUE ATHLETIC TRAINER License ATH.J00280
6/30/2017
JAMES DANIEL DOROTICS ATHLETIC TRAINER License ATH.J00050 6/30/2017
Therapy Center 2002 Johnson Street STE. 100 Jennings LA 70546
AMANDA PAIGE DORSEY ATHLETIC TRAINER License ATH.200260 6/30/2017
1501 LOUISVILLE AVE Monroe LA 71201
DANIEL L. DOUCET ATHLETIC TRAINER License ATH.J00016 6/30/2017 268
Monteigne Dr. Lafayette LA 70506-5424
JENNIFER A DOUCET ATHLETIC TRAINER License ATH.200447 6/30/2017
Imperial Health Center for Orthopaedics 1747 IMPERIAL BLVD. Lake
Charles LA 70605
GERALD JOHN DREFAHL ATHLETIC TRAINER License ATH.J00166 6/30/2017
9306 Perkins Road Baton Rouge LA 70810
JASON ANDREW DRURY ATHLETIC TRAINER License ATH.J00289 6/30/2017
Northwestern State University 468 CASPARI DR. 468 CASPARI DRIVE
NATCHITOCHES LA 71497
CHAD ANTHONY DUFRENE ATHLETIC TRAINER License ATH.200196 6/30/2017
Southeastern Louisiana University 400 Tennesee St. SLU Box 10845
Hammond LA 70402
NICOLE WATSON DUFRENE ATHLETIC TRAINER License ATH.200057 6/30/2017
2313 INDIANA AVE KENNER LA 70062
JAKE GARRETT DUHON ATHLETIC TRAINER License ATH.J00218 6/30/2017
Therapy Center 2002 JOHNSON ST. 2002 JOHNSON ST STE 100 JENNINGS LA
70546
JASON EVERETT DUNAVANT ATHLETIC TRAINER License ATH.200123
6/30/2017 UNIVERSITY OF LOUISIANA MONROE (ULM) 308 WARHAWK WAY ROOM
122 Monroe LA
71209
BARRY J. DUPLANTIS JR ATHLETIC TRAINER License ATH.J00341 6/30/2017
University of Louisiana at Lafayette 201 REINHARDT DR. Lafayette LA
70506
RAYMOND EARL DYER ATHLETIC TRAINER License ATH.J00134 6/30/2017
Alliance Therapy Services, inc 12320 HIGHWAY 44 Building 3-F
GONZALES LA 70737
SHERYL MELISSA EAGLIN ATHLETIC TRAINER License ATH.J00189 6/30/2017
1200 L.B. Landry Avenue New Orleans LA 70114
JOSIAH S. EASTMAN ATHLETIC TRAINER License ATH.200333
6/30/2017
RANDY SHAWN EDDY ATHLETIC TRAINER License ATH.J00178 6/30/2017 - -
BATON ROUGE LA 70803
JAMES S. EDELMAN ATHLETIC TRAINER License ATH.200394 6/30/2017
ochsner sports medicine institute 1201 S. CLEARVIEW PARKWAY SUITE
104 JEFFERSON LA 70121
AMBER RECHELLE EDWARDS ATHLETIC TRAINER License ATH.200485
6/30/2017 University of Texas 2012 ROBERT DEDMAN DRIVE AUSTIN TX
78701
KACIE SOMMERFELD EDWARDS ATHLETIC TRAINER License ATH.200362
6/30/2017
PAUL ALAN EDWARDS ATHLETIC TRAINER License ATH.J00119 6/30/2017
1455 E. BERT KOUNS SHREVEPORT LA 71105
COREY LICONA ELVIR ATHLETIC TRAINER License 300121 6/30/2017
DREW THOMAS ESCHETE ATHLETIC TRAINER License 300072 6/30/2017 N/A
N/A N/A N/A LA N/A
ASHLEY CHRISTINA EUSEA ATHLETIC TRAINER License ATH.200228
6/30/2017 Pinch artesian Orthopedics 3939 Houma Blvd 21 Metairie LA
70006
BENJAMIN F. EVANS III ATHLETIC TRAINER License ATH.200438 6/30/2017
Ochsner 1201 S Clearview Pkwy. Jefferson LA 70121
JEFFREY THOMAS FABER ATHLETIC TRAINER License ATH.200188 6/30/2017
Acadiana Physical Therapy and Sports Medicine 816 HARDING ST.
LAFAYETTE LA 70503
KENNETH GEORGE FALDETTA ATHLETIC TRAINER License ATH.200404
6/30/2017 Tulane Institute of Sports Medicine 202 MCALISTER EXT New
Orleans LA 70118
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
JACK P FAMIGLIO ATHLETIC TRAINER License ATH.200458 6/30/2017
Ochsner Sports Medicine at Delgado Community College 615 City Park
Avenue new orleans LA 70119
JOSEPH DAYTON FARLEY ATHLETIC TRAINER License ATH.200089
6/30/2017
JEFFREY CHARLES FAUCHEUX ATHLETIC TRAINER License ATH.J00120
6/30/2017 Jeff Faucheux 4021 POINT AVE Zachary LA 70791
KAREN LEW FEIRMAN ATHLETIC TRAINER License ATH.J00238 6/30/2017 150
DU RHU DR APT 906 MOBILE AL 36608
JONATHAN MICHAEL FERGUSON ATHLETIC TRAINER License ATH.200450
6/30/2017 15790 Paul Vega MD Drive Hammond LA 70403
CHRISTIE HENNING FINDLEY ATHLETIC TRAINER License ATH.200140
6/30/2017 Ochsner Clinic Foundation 1201 S Clearview Pkwy.
Jefferson LA 70121
JUSTIN J. FLEETWOOD ATHLETIC TRAINER License ATH.J00148 6/30/2017 1
RICHMOND STREET APT. 2105 NEW BRUNSWICK NJ 08901
JENNIFER L. FOGLEMAN ATHLETIC TRAINER License ATH.200095 6/30/2017
Willis Knighton 7925 Youree Dr. Ste 140 Shreveport LA 71105
BART ANTHONY FOLSE ATHLETIC TRAINER License ATH.200146 6/30/2017
500 N Lewis St New Iberia LA 70560
JEFFERY TODD FONTENOT ATHLETIC TRAINER License 300892 6/30/2017
Center for Orthopaedics 1747 Imperial Blvd Lake Charles LA
70605
BRANT CHARLES FOX ATHLETIC TRAINER License ATH.200332
6/30/2017
KATHERINE A. FRANK ATHLETIC TRAINER License ATH.200423 6/30/2017
IPCC 220 DOUCET RD. B216 LAFAYETTE LA 70503
TIMOTHY K. FRANTOM ATHLETIC TRAINER License ATH.J00175 6/30/2017
West Monroe High School 201 RIGGS ST. West Monroe LA 71291
CHAD CHRISTOPHER FREDERICKSON ATHLETIC TRAINER License ATH.200132
6/30/2017 LSU Student Health Center 150B INFIRMARY RD Baton Rouge
LA 70803
CHRISTIE T. FREY ATHLETIC TRAINER License ATH.200028
6/30/2017
CORY J. FRITH ATHLETIC TRAINER License ATH.200314 6/30/2017
Louisiana Athletic Care 1307 Old Jeanerette Road 102 New Iberia LA
70563
ALEXANDRA NICOLE FRUETEL ATHLETIC TRAINER License 300075 6/30/2017
Tulane University 333 BEN WEINER DRIVE New Orleans LA 70118
JACOB A. FRYOUX ATHLETIC TRAINER License ATH.200441 6/30/2017
Neuromedical Center Rehabilitation Hospital 10101 Park Rowe Avenue
500 Baton Rouge LA 70810
SARAH KRISTIN FRYOUX ATHLETIC TRAINER License 303282
6/30/2017
ALEXANDRA SUSAN FUREY ATHLETIC TRAINER License 302210
6/30/2017
PIPER CHRISTIANN GADDIS ATHLETIC TRAINER License ATH.J00363
6/30/2017 Dutchtown High School 13165 Highway 73 Geismar LA
70734
SHEENA RAE LEE GALLOWAY ATHLETIC TRAINER License ATH.200173
6/30/2017 Richwood High School 5901 HWY 165 SOUTH Monroe LA
71202
DAVID C. GAMBEL ATHLETIC TRAINER License ATH.200306 6/30/2017
Tulane University 333 Ben Weiner Dr. 154 New Orleans LA 70118
JONATHAN EDWARD GANTT ATHLETIC TRAINER License ATH.200223 6/30/2017
North Oaks Sports Medicine PO BOX 2668 Hammond LA 70404
TIFFANY DAWN GARY ATHLETIC TRAINER License ATH.J00296 6/30/2017
9001 SUMMA AVE. ORTHO DEPARTMENT Baton Rouge LA 70809
SUMMER ROSE GEBHART ATHLETIC TRAINER License ATH.200277
6/30/2017
DAVID J. GIARDINA ATHLETIC TRAINER License ATH.J00001 6/30/2017
Louisiana Heart Hospital 29301 N Dixie Ranch Rd. LaCombe LA
70445
SCOTT NICHOLAS GIARDINA ATHLETIC TRAINER License ATH.200029
6/30/2017 Lutcher High School P.O. Box 489 Lutcher LA 70071
MELISSA ARON GILLUM ATHLETIC TRAINER License ATH.J00114 6/30/2017
UNIVERSITY HEALTH 1501 KINGS HWY SHREVEPORT LA 71103
JENE MARIE GIOE ATHLETIC TRAINER License 300515 6/30/2017 Chalmette
High School 1100 East Judge Perez Drive Chalmette LA 70043
BRITTANY ANNE GOLDBERG ATHLETIC TRAINER License 302553
6/30/2017
LOREN ABIGAIL GOLMON ATHLETIC TRAINER License ATH.200304 6/30/2017
Marksville High School 407 WEST BON TEMPS STREET Marksville LA
71351
TIMOTHY TODD GONDA ATHLETIC TRAINER License ATH.J00030
6/30/2017
ALFRED RANDALL GONZALES ATHLETIC TRAINER License ATH.J00072
6/30/2017 Woodlawn High School 15755 Jefferson Highway Baton Rouge
LA 70817
KATHERINE ANN GONZALEZ ATHLETIC TRAINER License ATH.200460
6/30/2017 North oaks health system 2101 Robin ave Hammond LA
70403
ROBERT WAYNE GOODWIN ATHLETIC TRAINER License ATH.J00046 6/30/2017
1312 HOOKS HAMMOND LA 70401
RYAN MARK GREEN ATHLETIC TRAINER License 302687 6/30/2017 SLU SLU
BOX 10845 HAMMOND LA 70402
ARIEL M. GREENE ATHLETIC TRAINER License ATH.200261 6/30/2017
Imperial Health - Center for Orthopaedics 1747 Imperial Blvd. Lake
Charles LA 70605
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
MICHAEL RAY GRIFFIN ATHLETIC TRAINER License ATH.J00322 6/30/2017
1300 LAKEWOOD DR STE I MORGAN CITY LA 70380
BRITTANY LYNN GROOME ATHLETIC TRAINER License 300425
6/30/2017
ANA C. GROSS-COUTURE ATHLETIC TRAINER License ATH.200075 6/30/2017
15535 BABBLINGBROOK DRIVE BATON ROUGE, LA BATON ROUGE LA
70816
SAMANTHA NICOLE GUIDRY ATHLETIC TRAINER License ATH.200499
6/30/2017 Geaux Safety and Aquatics 1128 Chippenham Drive Baton
Rouge LA 70808
JENNIFER WINKLE GUILBEAU ATHLETIC TRAINER License ATH.200084
6/30/2017
SARAH T. GUILBEAU ATHLETIC TRAINER License ATH.J00139
6/30/2017
MICHAEL H. GUILLORY ATHLETIC TRAINER License ATH.200148 6/30/2017
OrthoPTic Rehab Clinic of Metairie 3939 Houma Blvd. Ste 17, Doctors
Row Metairie LA 70006
RYAN J. GUILLOT ATHLETIC TRAINER License ATH.200259 6/30/2017 St.
John Physical Therapy 504 Rue de Sante Laplace LA 70068
EMILY E. GUSEW ATHLETIC TRAINER License ATH.200355 6/30/2017
Southeastern Louisiana University SLU 10309 Hammond LA 70402
CHARLES KEITH HAAGA ATHLETIC TRAINER License ATH.J00124 6/30/2017
Ochsner Slidell High 1 Tiger Dr. Slidell LA 70458
LINDSAY ANNE HALE ATHLETIC TRAINER License ATH.200343 6/30/2017
Tulane Institute of Sports Medicine 202 McAlister Extension New
Orleans LA 70118
ERICA FAITH HALL ATHLETIC TRAINER License ATH.200056 6/30/2017
LA
JEAN RHODES HALL ATHLETIC TRAINER License ATH.J00167 6/30/2017 224
Pecan Park Ave. Alexandria LA 71303
SUSAN GAIL HALL ATHLETIC TRAINER License ATH.J00323 6/30/2017
Lafayette General Medical Center 111 PASA PLACE LAFAYETTE LA
70503
JEFFREY WILLIAM HAMMOND ATHLETIC TRAINER License ATH.200052
6/30/2017 6848 ESLER FIELD RD PINEVILLE LA 71360
KENTARO HANAWA ATHLETIC TRAINER License 301119 6/30/2017
JILL DIANE HANCOCK ATHLETIC TRAINER License ATH.200503 6/30/2017
Louisiana Tech Sports Medicine PO BOX 3156 Ruston LA 71272
WYDRICK RENELL HARDING ATHLETIC TRAINER License 302762
6/30/2017
JACOB HARDY ATHLETIC TRAINER License 300956 6/30/2017 Louisiana
State University at Alexandria 8100 Hwy 71 South Alexandria LA
71302
KEVIN B. HARGRAVE ATHLETIC TRAINER License ATH.200199 6/30/2017
McNeese State University 4205 RYAN STREET BOX 91855 MSU REC COMPLEX
151 LAKE CHARLES LA
70609
RONALD C. HARPER ATHLETIC TRAINER License ATH.J00106 6/30/2017
13165 LA-73 Geismar LA 70734
JON M. HAY ATHLETIC TRAINER License ATH.200025 6/30/2017 Louisiana
College Athletic Training 1140 COLLEGE DR./BOX 563 Pineville LA
71359
CAMERON KYLE HIEB ATHLETIC TRAINER License ATH.200511 6/30/2017 906
E. 1ST ST THIBODAUX LA 70301
PHILLIP BRADLEY HILL ATHLETIC TRAINER License ATH.200049 6/30/2017
Neville High School 600 Forsythe Ave Monroe LA 71291
ANNALISE WIMBISH HIMMEL ATHLETIC TRAINER License ATH.200309
6/30/2017 602 North Acadia Road Thibodaux LA 70301
BOBBIE JEAN HIRSCH ATHLETIC TRAINER License ATH.200090 6/30/2017
202 MCALISTER EXT NEW ORLEANS LA 70118
EMILY J. HOAG ATHLETIC TRAINER License ATH.200276 6/30/2017
Louisiana Athletic Care 1307 Old Jenerette Rd 102 New Iberia LA
70563
BRENT NEAL HOFFPAUIR ATHLETIC TRAINER License ATH.J00249 6/30/2017
physical therapy clinic of lafayette 1432 SOUTH COLLEGE DR
LAFAYETTE LA 70503
RYAN DENNISON HOLMES ATHLETIC TRAINER License ATH.200273 6/30/2017
St. Michael High School 17521 Monitor Ave. Baton Rouge LA
70817
NICHOLAS BLAIR HOLTGRIEVE ATHLETIC TRAINER License ATH.200496
6/30/2017 Ochsner Sports Medicine Institute 1201 S. Clearview
Parkway Jefferson LA 70121
TODD RYAN HOOKS ATHLETIC TRAINER License 300374 6/30/2017 New
Orleans Pelicans 5800 Airline Drive Metairie LA 70003
KELSEY BLAIR HOUNSHELL ATHLETIC TRAINER License 302507
6/30/2017
TYLER LEE HULS ATHLETIC TRAINER License ATH.200497 6/30/2017 15063
Sparrow Street Maurepas LA 70449
BRYAN C. HUTSON ATHLETIC TRAINER License ATH.200091 6/30/2017
Central High School 10200 E Brookside Dr. Baton Rouge LA
70818
LORALYN B. HUVAL ATHLETIC TRAINER License ATH.200420
6/30/2017
JENNIFER L. HYDE ATHLETIC TRAINER License ATH.200507 6/30/2017
Belle Chasse High School 8346 LA Hwy 23 Belle Chasse LA 70037
JON RAPHAEL ISHOP ATHLETIC TRAINER License ATH.200222 6/30/2017 6
Championsuip Dr. Auburn Hills MI 48326
JOSHUA DARNELL JACKSON ATHLETIC TRAINER License 301245 6/30/2017
Southern University of Baton Rouge 801 Harding Blvd. Baton Rouge LA
70813
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
TESA EMILY JOHNS ATHLETIC TRAINER License ATH.200477 6/30/2017
Athletics Administration Building Baton Rouge LA 70803
ANTHONY C. JOHNSON ATHLETIC TRAINER License ATH.200143
6/30/2017
KAYLA MARIA JOHNSON ATHLETIC TRAINER License ATH.200513
6/30/2017
GERALD STEPHEN JORDAN ATHLETIC TRAINER License 300203 6/30/2017
Louisiana Tech University P.O. BOX 3156 Ruston LA 71272
RODERICK A. JOSEPH ATHLETIC TRAINER License ATH.200211 6/30/2017
1989 3104 Aster St Lake Charles LA 70601
ERIC HAROLD KASTRUP ATHLETIC TRAINER License 303270 6/30/2017
SARAH NICOLE KEATING ATHLETIC TRAINER License 304057
6/30/2017
KIMBERLY BROU KELLER ATHLETIC TRAINER License ATH.200225
6/30/2017
WILLIAM JOSEPH KELLER ATHLETIC TRAINER License ATH.200059 6/30/2017
Tulane Institute of Sports Medicine 202 Janet Yulman Way 161 New
Orleans LA 70118
ERIN REBECCA KENNEDY ATHLETIC TRAINER License ATH.200210 6/30/2017
Southeastern LA Univ SLU 10845 Hammond LA 70402
TERRY R. KIMBALL ATHLETIC TRAINER License ATH.J00237 6/30/2017
Acadiana Physical Therapy 816 HARDING STREET Lafayette LA
70503
JUSTIN EDWARD KING ATHLETIC TRAINER License 303780 6/30/2017
MCNEESE STATE UNIVERSITY BOX 92735 LAKE CHARLES LA 70609
PAYTON NICOLE KINGSLEY ATHLETIC TRAINER License 303323 6/30/2017
1201 CLEARVIEW PARKWAY HARAHAN LA 70121
DEAN LEE KLEINSCHMIDT ATHLETIC TRAINER License ATH.J00018 6/30/2017
Tulane Institute of Sports Medicine 202 MCALISTER EXTENSION NEW
ORLEANS LA 70118
DEBORAH L. KNIGHT ATHLETIC TRAINER License ATH.J00073 6/30/2017
2800 Chartres St. New Orleans LA 70177
AKIRA KOHJIKI ATHLETIC TRAINER License 303250 6/30/2017 4205 RYAN
STREET LAKE CHARLES LA 70605
JEREMY ALTION KULBETH ATHLETIC TRAINER License ATH.200389
6/30/2017
CHRISTOPHER EDWARD KYLE ATHLETIC TRAINER License ATH.J00315
6/30/2017 309 JACKSON ST. Monroe LA 71201
CASEY ELIZABETH KYRIACOPOULOS ATHLETIC TRAINER License ATH.200484
6/30/2017
CAITLIN LOUISE LAFLEUR ATHLETIC TRAINER License ATH.200429
6/30/2017 Lake Charles Memorial Hospital 1701 Oak Park Blvd. Lake
Charles LA 70601
CHRISTOPHER C. LAHAYE ATHLETIC TRAINER License ATH.200015 6/30/2017
2025 Oak Park Blvd. Lake Charles LA 70601
KYLE P. LANCON ATHLETIC TRAINER License ATH.200258 6/30/2017
Acadiana Physical Therapy 201 W Gloria Switch Rd Lafayette LA
70507
RICKY JAMES LANDRY ATHLETIC TRAINER License ATH.J00113 6/30/2017
Acadiana Physical Therapy & Sports Medicine 816 HARDING STREET
LAFAYETTE LA 70503
LARRY NELS LARSEN ATHLETIC TRAINER License ATH.J00101 6/30/2017
Larry Nels Larsen, AT-Ret 11280 Heritage Oaks Shreveport LA
71106
BRANDON JAMES LEBLANC ATHLETIC TRAINER License ATH.200424 6/30/2017
St James High School 5181 Wildcat St ATHLETIC TRAINING ROOM St.
James LA 70086
MOLLY D. LEBLANC ATHLETIC TRAINER License ATH.200111 6/30/2017 St.
Martinville Senior High 762 N. MAIN ST. St. Martinville LA
70582
BRITTANY NICOLE LEBOEUF ATHLETIC TRAINER License 303368
6/30/2017
SHELBY HELTZ LEDET ATHLETIC TRAINER License ATH.200510 6/30/2017
Baton Rouge Physical Therapy Lake 14635 S Harrells Ferry Rd 4A
Baton Rouge LA 70816
ASHLEY REBECCA LEGGETT ATHLETIC TRAINER License 303443
6/30/2017
KALI CHRISTINE LEGROS ATHLETIC TRAINER License ATH.200292 6/30/2017
Louisiana Athletic Care 110 Travis street SUITE 102 Lafayette LA
70503
BRENT STEVEN LEIBY ATHLETIC TRAINER License 303840 6/30/2017
Centenary College of Louisiana 2911 Centenary Blvd ATHLETIC
DEPARTMENT Shreveport LA 71104
JEANNE MARIE LEROY ATHLETIC TRAINER License ATH.J00067
6/30/2017
CHARLES G. LEWIS ATHLETIC TRAINER License ATH.J00019 6/30/2017
25295 Mt. Pisgah Rd. Mt. Hermon LA 70450
DEANNA MARIE LEWIS ATHLETIC TRAINER License ATH.200105 6/30/2017
Ouachita Parish High School 681 HEY. 594 MONROE LA 71203
KIMBERLY MICHELLE LEWIS ATHLETIC TRAINER License 301376
6/30/2017
ALBERT CHARLES LINDON III ATHLETIC TRAINER License ATH.200425
6/30/2017 333 Ben Weiner Avenue New Orleans LA 70118
LANI CORBIN LITCHFIELD ATHLETIC TRAINER License ATH.200009
6/30/2017 DUTCHTOWN HIGH SCHOOL 13165 HWY 73 GEISMAR LA 70734
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
JESSICA JEANNE LLAMAS ATHLETIC TRAINER License ATH.J00140 6/30/2017
State Farm Insurance State Farm 4700 S PROVIDENCE RD Columbia MO
65217
KRISTINA A. LOUNSBERRY ATHLETIC TRAINER License ATH.200356
6/30/2017 3708 Maplewood Dr. Sulphur LA 70663
SCOTT MICHAEL LOUNSBERRY ATHLETIC TRAINER License ATH.J00190
6/30/2017 3708 Maplewood Drive Sulphur LA 70663
BEAU BERNELL LOWERY ATHLETIC TRAINER License ATH.J00349 6/30/2017
New Orleans Saints SUITE E 5800 AIRLINE DRIVE Metairie LA
70003
CHARLES PRESTON LUTES ATHLETIC TRAINER License ATH.200043 6/30/2017
Willis-Knighton Health Systems 8001 YOUREE DR. Shreveport LA
71115
BRITTANY RENE LUTTRELL ATHLETIC TRAINER License 302771 6/30/2017
P.O. BOX 3156 RUSTON LA 71272
MARK THOMAS MALERI ATHLETIC TRAINER License ATH.200345 6/30/2017
202 McAlister Extension New Orleans LA 70118
PATRICK M. MALONEY ATHLETIC TRAINER License ATH.200130 6/30/2017
Tulane Institute of Sports Medicine 202 JANET YULMAN WAY New
Orleans LA 70118
KEVIN D. MANGUM ATHLETIC TRAINER License ATH.J00034 6/30/2017 5800
Airline Hwy. Metairie LA 70003
DEAN MICHAEL MANNINA ATHLETIC TRAINER License ATH.J00370 6/30/2017
Episcopal School of Baton Rouge 3200 WOODLAND RIDGE BLVD BATON
ROUGE LA 70816
RACHEL VEILLON MANUEL ATHLETIC TRAINER License ATH.200010 6/30/2017
Our lady of Fatima school 2315 JOHNSTON ST. Lafayette LA
70503
JOSEPH ANTHONY MARINO JR ATHLETIC TRAINER License ATH.200233
6/30/2017 Joseph Marino ACADIANA PHYSICAL THERAPY 1400 REES ST
SUITE D BREAUX BRIDGE
LA 70517
LOGAN PAUL MARKS ATHLETIC TRAINER License 300826 6/30/2017 North
West High School 3746 LA-104 Opelousas LA 70570
JESSICA MARIE MARTINEZ ATHLETIC TRAINER License 301608 6/30/2017
McNeese State University MSU Box 92735 Lake Charles LA 70609
JACOB MARUCCI ATHLETIC TRAINER License ATH.J00179 6/30/2017
ANDREW NEWTON MASSEY ATHLETIC TRAINER License ATH.200396 6/30/2017
333 Ben Weiner Avenue New Orleans LA 70118
AIMEE GROS MATTOX ATHLETIC TRAINER License ATH.200117 6/30/2017 225
Cajundome Blvd. Lafayette LA 70506
JANSSEN NEAL MAY ATHLETIC TRAINER License ATH.J00316 6/30/2017 West
Ouachita High School 4061 CAPLES RD West Monroe LA 71292
MITCHELL THOMAS MAZUR ATHLETIC TRAINER License 303039 6/30/2017 ULM
Athletics 308 Warhawk Way Monroe LA 71203
KATIE MARIE MCBAIN ATHLETIC TRAINER License ATH.200239 6/30/2017
Louisiana Athletic Care 110 TRAVIS ST, STE 122 Lafayette LA
70503
SEAN M. MCDANIEL ATHLETIC TRAINER License ATH.J00383 6/30/2017 228
NORTH COLUMBIA STREET covington LA 70433
AARON DAVID MCDONALD ATHLETIC TRAINER License ATH.J00262 6/30/2017
745 SOUTH SHATTUCK STREET Lake Charles LA 70601
MELINDA JOAN MCDONELL ATHLETIC TRAINER License ATH.200405 6/30/2017
Tulane Institute of Sports Medicine 202 JANET YULMAN WAY New
Orleans LA 70118
GEORGE EDWARD MCGOVERN IV ATHLETIC TRAINER License ATH.200088
6/30/2017 Destrehan High School #1 Wildcat Lane Destrehan LA
70047
MAGGIE ANN MCGOWAN-STINSKI ATHLETIC TRAINER License 304122
6/30/2017
CAITLYN CHRISTINE MCKINLEY ATHLETIC TRAINER License ATH.200387
6/30/2017 12035 LA 431 St. Amant LA 70774
JOHN P. MCLAUGHLIN ATHLETIC TRAINER License ATH.200367
6/30/2017
SOLEIL MCLAUGHLIN ATHLETIC TRAINER License ATH.200274 6/30/2017
1TEAM ATHLETIC CARE LLC 6217 CANERON BLVD New Orleans LA
70122
LOVIE N. MCMILLAN-TABRON ATHLETIC TRAINER License 300692 6/30/2017
Southern University 801 Harding Blvd. Baton Rouge LA 70807
RACHAEL ANN MCNULTY ATHLETIC TRAINER License ATH.200516
6/30/2017
TABITHA M. MCREYNOLDS ATHLETIC TRAINER License ATH.200284 6/30/2017
Baton Rouge Soccer Club 142 LOBDELL AVENUE Baton Rouge LA
70806
CODY J. MEAUX ATHLETIC TRAINER License ATH.200203 6/30/2017 140
WINDERMERE CIRCLE YOUNGSVILLE LA 70592
JOY RENEE MELANCON ATHLETIC TRAINER License ATH.200505 6/30/2017
The Therapy Center 1338N Cutting Ave Jennings LA 70546
KASEY J. MELANCON ATHLETIC TRAINER License ATH.200231 6/30/2017
Cecilia High School P.O Box 360 Cecilia LA 70521
EMILY ELIZABETH MESA ATHLETIC TRAINER License ATH.200461 6/30/2017
Tulane institute of Sports Medicine 202 McAlister Extension New
Orleans LA 70118
JOHN TAYLOR MICHEL ATHLETIC TRAINER License 301281 6/30/2017
MALLORY ANN MICKUS ATHLETIC TRAINER License ATH.200428 6/30/2017
LSU Athletics Administration Builiding North Stadium Drive Baton
Rouge LA 70803
REBECCA DOMINIQUE MIHALOVITS ATHLETIC TRAINER License ATH.200359
6/30/2017 2200 Lapalco Blvd. Harvey LA 70058
ALAN ROSS MILLER ATHLETIC TRAINER License ATH.200286 6/30/2017 Peak
Performance Physical Therapy 11320 INDUSTRIPLEX BLVD Baton Rouge LA
70809
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
AMANDA J. MILLER ATHLETIC TRAINER License ATH.200353 6/30/2017
Louisiana Tech University P.O. Box 3156 Ruston LA 71272
ANITA JOY MILLER ATHLETIC TRAINER License ATH.200400 6/30/2017
Northwestern State University 468 CASPARI DRIVE Natchitoches LA
71497
ANTHONY JOSEPH MILLER ATHLETIC TRAINER License 303506
6/30/2017
KAMI LYNN MILLER ATHLETIC TRAINER License ATH.J00252 6/30/2017 200
BEAULLIEU DR. BLDG 1 Lafayette LA 70508
KATHERINE CORBLY MILLER ATHLETIC TRAINER License ATH.J00318
6/30/2017 Metairie Park Country Day School 300 PARK ROAD ATHLETIC
TRAINING Metairie LA 70005
LAKYN KIRBY MILLER ATHLETIC TRAINER License 303586 6/30/2017
ROYAL MILTON III ATHLETIC TRAINER License ATH.200335 6/30/2017
Orlando Magic 400 W. Church Orlando FL 32807
DARA MOAK ATHLETIC TRAINER License ATH.200116 6/30/2017 King's
Daughters Medical Center 427 HWY 51 North Brookhaven MS 39601
DAVID RIAN MOCKLIN ATHLETIC TRAINER License ATH.200490 6/30/2017
Tulane Institute of Sports Medicine 202 McAlister Extension New
Orleans LA 70118
TAMEIKA F MOORE ATHLETIC TRAINER License ATH.J00284 6/30/2017 11926
GRAHAM RD KEITHVILLE LA 71047
ALEXANDRA MARIA MORAN ATHLETIC TRAINER License 303944
6/30/2017
REYLIN ROSE MORGAN ATHLETIC TRAINER License 303269 6/30/2017 468
CASPARI DRIVE NATCHITOCHES LA 71497
VICTORIA ASHLYN MORRIS ATHLETIC TRAINER License 302916 6/30/2017
Northwestern State University 468 CASPARI DRIVE NATCHITOCHES LA
71497
PAIGE ELIZABETH MORVANT ATHLETIC TRAINER License 302345
6/30/2017
ROCHELLE LICHTER MULLENIX ATHLETIC TRAINER License ATH.J00186
6/30/2017 LSU Athletic Administration Bldg BATON ROUGE LA
70803
JAMES T. MURPHY ATHLETIC TRAINER License ATH.J00047 6/30/2017 James
T. Murphy 205 Nottoway Sulphur LA 70663
CAITLIN MARIE MURRAY ATHLETIC TRAINER License 302684 6/30/2017 201
REINHARDT DR. LAFAYETTE LA 70506
BARBARA MARIE NAQUIN ATHLETIC TRAINER License ATH.J00035 6/30/2017
NICHOLLS STATE UNIV P O BOX 2032 THIBODAUX LA 70310
VICTORIA A. NASSAR ATHLETIC TRAINER License ATH.200178
6/30/2017
CARLY KATELYN NATSIS ATHLETIC TRAINER License 302081 6/30/2017 ULL
2301 Reinhardt Drive Lafayette LA 70506
TIMOTHY QUINTON NEASE II ATHLETIC TRAINER License ATH.200455
6/30/2017 Thibodaux Regional Medical Center 602 N. Acadia Road
SPORTS MEDICINE Thibodaux LA 70301
ANTHONY T. NEESON ATHLETIC TRAINER License ATH.J00375 6/30/2017
Southeastern Louisiana University 800 GALLOWAY DR. HAMMOND LA
70402
CRYSTAL R. NELSON ATHLETIC TRAINER License ATH.200163 6/30/2017
Louisiana College 1140 College Dr. Pineville LA 71359
JYE SHUANG NG ATHLETIC TRAINER License 301540 6/30/2017
ASHLEY L. NICHOLS ATHLETIC TRAINER License ATH.200265 6/30/2017
2002 Johnson St. Ste 100 Jennings LA 70546
RAIELLE ANDRA NOVICK ATHLETIC TRAINER License ATH.200481 6/30/2017
Ulm 308 Warhawk way Monroe LA 71209
TAYLOR MARY NUGENT ATHLETIC TRAINER License ATH.200462 6/30/2017
Louisiana Tech Sports Medicine 1450 West Alabama Ruston LA
71272
KELECHI OKOROCHA ATHLETIC TRAINER License ATH.200311 6/30/2017
Athletic Republic Lake Area 3708 Maplewood Drive Sulphur LA
70663
KATHLEEN DIANE OSBORNE ATHLETIC TRAINER License ATH.J00103
6/30/2017 Kathy Davis 5924 HAGERSTOWN DRIVE Baton Rouge LA
70817
NICHOLAS JAMES OWENS ATHLETIC TRAINER License ATH.200186 6/30/2017
OrthoPTic Rehab of Metairie 3939 HOUMA BLVD. 17 METAIRIE LA
70006
AMANDA L. OZOLINS ATHLETIC TRAINER License ATH.200431 6/30/2017 82
GREEN MEADOWS LN FOUNATIN INN SC 70301
TAYLOR MARIE PADGETT ATHLETIC TRAINER License 301908
6/30/2017
PHILLIP A. PAGE ATHLETIC TRAINER License ATH.J00077 6/30/2017 18422
Green Willow Dr. Baton Rouge LA 70817
AMANDA LYN PALAZOLA ATHLETIC TRAINER License ATH.200191 6/30/2017
Ochsner Sports Medicine 1000 Ochsner Blvd. Covington LA 70433
ALICIA ZABALA PALMISANO ATHLETIC TRAINER License ATH.J00271
6/30/2017
HOLLY ANN PARKER ATHLETIC TRAINER License ATH.200451 6/30/2017
Louisiana Athletic Care 1307 OLD JEANERETTE RD. SUITE #2 NEW IBERIA
LA 70560
JOSEPH ROSS PARKER ATHLETIC TRAINER License ATH.J00385 6/30/2017
CLEAR CREEK ISD 2425 EAST MAIN ST LEAGUE CITY TX 77573
JANET LEA PASSMAN ATHLETIC TRAINER License ATH.J00247 6/30/2017
Louisiana College 1140 COLLEGE DRIVE PINEVILLE LA 71359-0507
MITA ARUNCHANDRA PATEL ATHLETIC TRAINER License ATH.200514
6/30/2017 UNIVERSITY OF LOUISIANA MONROE 308 Warhawk Way Monroe LA
71209
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
SCOTTIE BROWN PATTON ATHLETIC TRAINER License ATH.200164 6/30/2017
New Orleans Saints 5800 AIRLINE DR Metairie LA 70003
SCOTT JOUBERT PAVUR ATHLETIC TRAINER License ATH.J00010 6/30/2017
Sports Medic 5885 LAVEY LANE STE. 96 Baker LA 70714
SVEN CHARLES EDWIN PEARSON ATHLETIC TRAINER License 303058
6/30/2017 1201 W California Ave APT: A32 Ruston LA 71270
MICHAEL WAYNE PECK ATHLETIC TRAINER License ATH.J00300 6/30/2017
Raymond W. Bliss Army Health Center 2240 E WINROW ROAD FT. HUACHUCA
AZ 85613-7079
DANIEL JOSEPH PELLERITO ATHLETIC TRAINER License ATH.200131
6/30/2017 Isidore Newman School 1903 JEFFERSON AVE New Orleans LA
70115
RHETT K. PELTIER ATHLETIC TRAINER License ATH.J00263 6/30/2017
.
WAYNE PRESTON PERRYMAN ATHLETIC TRAINER License ATH.200064
6/30/2017 United States Army Physical Therapy REYNOLDS ARMY
COMMUNITY HOSPITAL Fort Sill OK
73503
AMBER R. PETREY ATHLETIC TRAINER License ATH.200135 6/30/2017
Ochsner Health System 1201 S Clearview Pkwy. Jefferson LA
70121
EMILY NICOLE PEVEY ATHLETIC TRAINER License ATH.200467 6/30/2017
North Oaks Hospital 2101 Robin Avenue #4 Hammond LA 70403
NICOLE ELIZABETH PHEGLEY ATHLETIC TRAINER License ATH.200463
6/30/2017 Ochsner Sports Medicine Institute 1201 S. Clearview
Pkwy., Bldg B, ste 104 Jefferson LA 70121
EMILY ANN PHILLIPS ATHLETIC TRAINER License ATH.200293
6/30/2017
RYAN M. PICKERT ATHLETIC TRAINER License ATH.200437 6/30/2017
Consumer Sports Medicine institute 1201 Clearview Pkwy. Metairie LA
70001
JORDAN JEFFREY PIERCE ATHLETIC TRAINER License ATH.200468 6/30/2017
Broussard Center for Athletic Training Baton Rouge LA 70803
DAVID WARREN PILET ATHLETIC TRAINER License ATH.J00344 6/30/2017
1907 Henry Clay St. Mandeville LA 70448
CHERISSE HENRY PIPPIN ATHLETIC TRAINER License ATH.200200 6/30/2017
P O BOX 822 Kaplan LA 70548
STEVEN POCHE ATHLETIC TRAINER License ATH.200283 6/30/2017
RENE A. PONSAA III ATHLETIC TRAINER License ATH.200019 6/30/2017
SOUTHEASTERN LOUISIANA UNIVERSITY
BYRON MICHAEL POTTORFF ATHLETIC TRAINER License 303666 6/30/2017
P.O. BOX 8156 RUSTON LA 71272
JODY REEN POWELL ATHLETIC TRAINER License ATH.200402 6/30/2017
Wossman High School 1600 ARIZONA AVE Monroe LA 71202
JOSHUA COLBY PRATT ATHLETIC TRAINER License ATH.200305 6/30/2017
LSU Athletic Training Athletic Administration Building NORTH
STADIUM DRIVE Baton Rouge LA 70803
ERIC ROBERT PRINCE ATHLETIC TRAINER License ATH.200295 6/30/2017
University of Louisiana Lafayette 202 REINHARDT DRIVE LAFAYETTE LA
70506
CHRIS DALE PURVIS ATHLETIC TRAINER License ATH.200195 6/30/2017
Peak Performance Physical Therapy 11320 INDUSTRIPLEX BLVD Baton
Rouge LA 70809
NATHAN PAUL QUEBEDEAUX ATHLETIC TRAINER License 300908 6/30/2017
Southeastern Louisiana University Athletics SLU 10309 Hammond LA
70402
ADAM GREGORY QUIGLEY ATHLETIC TRAINER License 302114
6/30/2017
BENNETT JAMES RACK ATHLETIC TRAINER License ATH.200439 6/30/2017
9306 Perkins Road Baton Rouge LA 70810
RAYMOND FRANCIS RAPHAEL ATH ATHLETIC TRAINER License ATH.J00303
6/30/2017 LA
JAMEY R. RASBERRY ATHLETIC TRAINER License ATH.J00328 6/30/2017 BOX
91705 Lake Charles LA 70609
COURTNEY LYNN RAUSCHKOLB ATHLETIC TRAINER License ATH.200137
6/30/2017 Ochsner Sports Medicine Institute 1201 S. Clearview Pkwy.
BUILDING B, SUITE 104 Jefferson
LA 70121
MEGHAN K. REID ATHLETIC TRAINER License ATH.200256 6/30/2017
Louisiana State University 112 Long Fieldhouse Baton Rouge LA
70803
BRANDON KIRK RENFROW ATHLETIC TRAINER License ATH.J00366 6/30/2017
119 Aurora DR PINEVILLE LA 71360-8827
KATHRYN ANGELLE RESWEBER ATHLETIC TRAINER License ATH.200478
6/30/2017 Acadiana Physical Therapy 816 Harding Street Lafayette LA
70503
MATTHEW LOUIS REYNOLDS ATHLETIC TRAINER License 300095 6/30/2017
Southeastern Louisiana University SLU 10845 Hammond LA 70402
THOMAS ALAN RICE ATHLETIC TRAINER License 300193 6/30/2017
Louisiana Tech University P.O. BOX 3156 Ruston LA 71272
ERIC BERNARD RICHARDSON ATHLETIC TRAINER License ATH.200215
6/30/2017 Ochsner Sports Medicine Institute 1000 OCHSNER BLVD
Covington LA 70433
JASON CLARKE RILEY ATHLETIC TRAINER License ATH.J00329 6/30/2017
Ouachita Physical Therapy 1138 Oliver Road Monroe LA 71201
RETTA LEANN RILEY ATHLETIC TRAINER License ATH.200388 6/30/2017
Terrebonne General Medical Center 8166 Main St. Houma LA
70360
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
FREDRICK LYMOUND ROBINSON SR ATHLETIC TRAINER License ATH.200494
6/30/2017 National Football League 345 Park AVENUE New York NY
10154
JESSICA LUCILLA ROBINSON ATHLETIC TRAINER License ATH.J00213
6/30/2017 P.O. BOX 5211 Thibodaux LA 70302
LYDIA K. ROBINSON ATHLETIC TRAINER License ATH.200226 6/30/2017
Sports Medicine Center of Thibodaux Regional Medical Center 1101
AUDUBON AVE. THIBODAUX LA
70301
BRIAN DAVID ROCKETT ATHLETIC TRAINER License ATH.200038 6/30/2017
2600 GREENWOOD RD. SHREVEPORT LA 71103
MATTHEW C. RODRIGUE ATHLETIC TRAINER License ATH.200172 6/30/2017
Assumption High School 4880 Hwy 308 Napoleonville LA 70390
TODD JUDE RODRIGUE ATHLETIC TRAINER License ATH.J00123 6/30/2017
2626 NORTH DR ABBEVILLE LA 70510
MICHAEL ARTHUR RODRIGUES ATHLETIC TRAINER License 300124 6/30/2017
Baton Rouge Orthopaedic Clinic 8080 Bluebonnet Blvd., SUITE 1000
Baton Rouge LA 70810
JASON MICHAEL RODRIGUEZ ATHLETIC TRAINER License ATH.200098
6/30/2017 1747 Imperial Blvd. Lake Charles LA 70605
KEVIN MARK ROMERO ATHLETIC TRAINER License ATH.J00254 6/30/2017 NEW
IBERIA LA
BAYLEY ANN ROMIG ATHLETIC TRAINER License ATH.200471 6/30/2017 333
Ben Weiner Drive New Orleans LA 70118
JACQUELINE KAY ROSENBLAT ATHLETIC TRAINER License 301123 6/30/2017
300 Park Road Metairie LA 70005
KATHERINE AVERY ROTENBERRY ATHLETIC TRAINER License 303255
6/30/2017 201 REINHARDT DR. LAFAYETTE LA 70508
HANNAH ELIZABETH ROUDEBUSH ATHLETIC TRAINER License ATH.200415
6/30/2017 Baton Rouge LA 70803
FABIAN ASHTON ROUSSEL ATHLETIC TRAINER License ATH.J00069 6/30/2017
Peak Performance Physical Therapy PEAK PERFORMANCE PHYS THERAPY
11320 INDUSTRIPLEX
BLVD BATON ROUGE LA 70809
JOHN ROBERT ROY ATHLETIC TRAINER License ATH.J00061 6/30/2017 APT
201 W GLORIA SWITCH RD. SUITE H Lafayette LA 70507
SIMONE JANAI RUSH ATHLETIC TRAINER License ATH.200487 6/30/2017
Nicholls State University 906 E. 1st Street Thibodaux LA
70301
LAUREN M. SANDERS ATHLETIC TRAINER License ATH.200103 6/30/2017
8080 Bluebonnet Blvd. Baton Rouge LA 70810
NICHOLE DENISE SAVERINO ATHLETIC TRAINER License ATH.200253
6/30/2017 Ochsner Sports Medicine Institute 1201 S. Cleaview Pkwy.
Jefferson LA 70121
CASEY JOHN SCALESE ATHLETIC TRAINER License 304154 6/30/2017
RYAN MCCORD SCHEXNAYDER ATHLETIC TRAINER License ATH.J00345
6/30/2017 Ascension Catholic High School 311 ST. VINCENT
Donaldsonville LA 70346
SARA LYNN SCHEXNAYDER ATHLETIC TRAINER License ATH.200515 6/30/2017
Ochsner Health System 1201 South Clearview Pkwy Jefferson LA
70121
MILLARD DONALD SCHINDLER ATHLETIC TRAINER License ATH.J00121
6/30/2017 Ochsner Health Systems 3820 LAPALCO BLVD. HARVEY LA
70058
DANIEL KEITH SCHINNERER ATHLETIC TRAINER License ATH.200509
6/30/2017 University of Louisiana at Lafayette 202 Reinhart Dr
Lafayette LA 70506
JEFFREY MICHAEL SCHMITT ATHLETIC TRAINER License ATH.J00137
6/30/2017 202 SOUTH 3RD. ST. PONCHATOULA LA 70404
PHILLIP ALLEN SHAW ATHLETIC TRAINER License ATH.J00150 6/30/2017
University of Louisiana - Monroe 308 WARHAWK WAY MONROE LA
71209
STEVEN MICHAEL SIRACUSA ATHLETIC TRAINER License ATH.200087
6/30/2017 Acadiana Physical Therapy and Sports Medicine 816 Harding
Street Lafayette LA 70503
KERRIN E. SITMAN ATHLETIC TRAINER License ATH.200183 6/30/2017
20484 KENSINGTON ROW HAMMOND LA 70401
ELISHA ANN MONIQUE SMITH ATHLETIC TRAINER License ATH.200053
6/30/2017 1307 OLD JEANERETTE ROAD NEW IBERIA LA 70563
STEPHANIE VICTORIA SMITH ATHLETIC TRAINER License ATH.200166
6/30/2017 Live Oak High School 36079 LA Hwy 16 Denham Springs LA
70706
TRAVIS JUDE SOILEAU ATHLETIC TRAINER License ATH.J00350 6/30/2017
University of Louisiana at Lafayette 201 REINHARDT DR LAFAYETTE LA
70506-4252
ETHAN ALAN SOLGER ATHLETIC TRAINER License ATH.200398 6/30/2017 333
BEN WEINER DRIVE New Orleans LA 70118
MICHELLE KAREN SOLGER ATHLETIC TRAINER License ATH.200403 6/30/2017
202 McAlister Extension New Orleans LA 70118
SPENCER PAUL SONNIER ATHLETIC TRAINER License ATH.200282 6/30/2017
Acadiana Physical Therapy & Sports Medicine 201 W GLORIA SWITCH
RD SUITE H LAFAYETTE LA
70507
MELISSA ANN SORRELLS ATHLETIC TRAINER License ATH.200238 6/30/2017
LA State University Laboratory School 45 DALRYMPLE DR Baton Rouge
LA 70803
TARA PACKER SOSA ATHLETIC TRAINER License ATH.J00327 6/30/2017 1903
Jefferson Ave. New Orleans LA 70115
MARISSA L. ST PE' ATHLETIC TRAINER License ATH.200302 6/30/2017
Ochsner 1000 OCHSNER BLVD Covington LA 70433
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
RICHARD JOHN STAIERT ATHLETIC TRAINER License 301732 6/30/2017
Baton Rouge Orthopaedic Clinics 8080 Bluebonnet Blvd STE 1000 Baton
Rouge LA 70810
KYLE A. STAIRS ATHLETIC TRAINER License ATH.200392 6/30/2017
Willis-Knighton Health Systems 7925 Youree Dr. Shreveport LA
71105
SEAN E. STANTON ATHLETIC TRAINER License ATH.J00354 6/30/2017
Zachary High School 4100 BRONCO LANE Zachary LA 70791
MEAGAN LEIGH STEEN ATHLETIC TRAINER License ATH.200371 6/30/2017
Rusk ISD 495 EAGLE DRIVE RUSK TX 75785
BRAD DAVID STEVERSON ATHLETIC TRAINER License ATH.200097 6/30/2017
Ochsner 1201 S. Clearview Pkwy JEFFERSON LA 70121
NIA JEANINE STEWART ATHLETIC TRAINER License ATH.200440 6/30/2017
Ochsner Sports Medicine Institute 1201 S. Clearview Parkway
Jefferson LA 70121
CHRISTIAN M. STIPE ATHLETIC TRAINER License ATH.200349 6/30/2017
St. Paul's School 917 S Jahncke Ave. Covington LA 70434
BENEDICT W. STOLLBERG ATHLETIC TRAINER License ATH.200434 6/30/2017
5800 Airline Dr. Metairie LA 70003
REGGIE LAMONT STONE ATHLETIC TRAINER License ATH.200144 6/30/2017
New Orleans Saints 5800 AIRLINE DR Metairie LA 70003
ERIK A. STRAHAN ATHLETIC TRAINER License ATH.200002 6/30/2017
Central PT 13111 HOOPER RD CENTRAL LA 70818
MATTHEW REUSS STUMPF ATHLETIC TRAINER License ATH.200044 6/30/2017
DOYLE HIGH SCHOOL PO BOX 160 LIVINGSTON LA 70744
ANDREA RAE SUTTER ATHLETIC TRAINER License 300122 6/30/2017 Tulane
University Ben Weiner Drive JAMES W. WILSON CENTER New Orleans LA
70118
ERICA LEE TAYLOR ATHLETIC TRAINER License ATH.200336 6/30/2017
Oschner Sports Medicine Institute 1201 S. CLEARVIEW PARKWAY
BUILDING B Jefferson LA 70121
SAMMI NIKKOLE TAYLOR ATHLETIC TRAINER License ATH.J00346 6/30/2017
St. Charles Parish Public Schools 13855 RIVER ROAD LULING LA
70070
JEREMY BRETT TEBLUM ATHLETIC TRAINER License ATH.200352 6/30/2017
University of Louisiana Monroe 308 Warhawk Way Monroe LA
71209
TRAVIS EDWARD THERIOT ATHLETIC TRAINER License ATH.200301 6/30/2017
Imperial Health 1747 IMPERIAL BLVD Lake Charles LA 70605
ELIZABETH A. THOMASON ATHLETIC TRAINER License ATH.200268 6/30/2017
1307 Old Jeanerette Rd. Ste 102 New Iberia LA 70563
DEVIN TED THULIN ATHLETIC TRAINER License 300076 6/30/2017
Northwestern State University 468 Caspari Drive Natchitoches LA
71497
MELINA MARIE TODESCO ATHLETIC TRAINER License ATH.200138 6/30/2017
Ochsner Health System 1201 S. Clearview Pkwy. SUITE 104, BUILDING B
Jefferson LA 70121
ALISHA MICHELLE TOLBERT ATHLETIC TRAINER License ATH.200326
6/30/2017 North Stadium Dr. Baton Rouge LA 70803
QUANTRELL ELIJAH-RASHAD TOVAL ATHLETIC TRAINER License ATH.200018
6/30/2017 1 Wildcat Reserve LA 70084
BRITTANY A. TRAHAN ATHLETIC TRAINER License ATH.200202
6/30/2017
GAGE ALLEN TRAHAN ATHLETIC TRAINER License ATH.200074 6/30/2017 131
WOODLAKE DRIVE Pineville LA 71360
KENNETH J. TRAHAN ATHLETIC TRAINER License ATH.J00331
6/30/2017
RYAN P. TRAHAN ATHLETIC TRAINER License ATH.200279 6/30/2017
Thibodaux Reginal Medical Center 602 N Acadia Rd. Thibodaux LA
70301
TYLER JOHN TRAHAN ATHLETIC TRAINER License ATH.200372 6/30/2017
Nicholls State University P.O. Box 2032 Thibodaux LA 70301
AMANDA NICOLE TREPAGNIER ATHLETIC TRAINER License ATH.200194
6/30/2017 42144 Veterans Ave. Hammond LA 70403
KRISTIN MARIA TRIASSI ATHLETIC TRAINER License 300598
6/30/2017
MARISSA LAURA TRIASSI ATHLETIC TRAINER License ATH.200488 6/30/2017
6633 Fleur De Lis Dr Apt.8 New Orleans LA 70124
GARRETT R. TUNKS ATHLETIC TRAINER License ATH.200435
6/30/2017
CHRISTOPHER JERMANE TURNER ATHLETIC TRAINER License 303357
6/30/2017 906 E. 1ST STREET THIBODAUX LA 70310
KRISTINA B. TYSON ATHLETIC TRAINER License ATH.200014 6/30/2017
Ochsner Sports Medicine institute 1221 SOUTH CLEARVIEW PKWY New
Orleans, LA 70121
BRITT MONROE VALLOT ATHLETIC TRAINER License ATH.200193 6/30/2017
Ochsner Sports Medicine Institute 1201 S Clearview Pkwy Jefferson
LA 70121
JESSICA L. VAN SWEDEN ATHLETIC TRAINER License ATH.200316 6/30/2017
Southeastern Louisiana University SLU 10309 Hammond LA 70402
JOSHUA DAVID VASALECH ATHLETIC TRAINER License 302452
6/30/2017
PAUL D. VAUGHN ATHLETIC TRAINER License ATH.J00202 6/30/2017
Sterlington High School 233 KEYSTONE RD Monroe LA 71203
JAMIE BETH VEAZEY ATHLETIC TRAINER License ATH.J00183 6/30/2017
Passive Investment Group 110 TRAVIS ST., STE. 122 LAFAYETTE LA
70503
JESSICA G. VEILLON ATHLETIC TRAINER License ATH.200298 6/30/2017
Center for Orthopaedics 1747 Imperial Blvd. Lake Charles LA
70605
DIANE DAWSON VERMAELEN ATHLETIC TRAINER License ATH.J00065
6/30/2017 Contract Employee; Moreau PT; Kindred 15476 Ryan Ave
Prairieville LA 70769
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
REECE CHRISTOPHER VITALE ATHLETIC TRAINER License 302365
6/30/2017
CHRISTOPHER JOHN WALKER ATHLETIC TRAINER License 304120 6/30/2016
Louisiana State University Athletic Department Athletic
Administration Building Baton Rouge LA 70803
JUSTIN BRYANT WALKER ATHLETIC TRAINER License 303063
6/30/2017
MELVIN A. WALLIS JR ATHLETIC TRAINER License ATH.200141
6/30/2017
CHRISTOPHER RUSSELL WATSON ATHLETIC TRAINER License ATH.200475
6/30/2017
LENNIS E. WATSON ATHLETIC TRAINER License ATH.J00347 6/30/2017
Natchitoches Regional Medical Center 501 KEYSER AVE. NATCHITOCHES,
LA 71457 Natchitoches LA
71457-2009
JAMES DAVID WELLS ATHLETIC TRAINER License ATH.J00257 6/30/2017
Caldwell Parish High School 163 SPARTAN DR COLUMBIA LA LA
71418-4345
VANESSA ANN WEST ATHLETIC TRAINER License ATH.200063 6/30/2017
Central Middle School 14101 RODDY RD GONZALES AE 70737
JORDAN MATTHEW WHEAT ATHLETIC TRAINER License ATH.200456
6/30/2017
ELIZABETH PAIGE WHEELER ATHLETIC TRAINER License ATH.200493
6/30/2017 Acadiana Physical Therapy 201 W. Gloria Switch Road
Lafayette LA 70507
JUSTIN MICHAEL WHEELER ATHLETIC TRAINER License ATH.200417
6/30/2017 Louisiana Tech University 1450 W ALABAMA AVE Ruston LA
71272
KELLY ADISSON WHEELER ATHLETIC TRAINER License ATH.200201
6/30/2017
DONAVON CARLTON WHITE ATHLETIC TRAINER License 302179 6/30/2017
Broussard Center for Athletic Training BROUSSARD CENTER FOR
ATHLETIC TRAINING Baton Rouge
LA 70820
ERICA DIANNE WILLIAMS ATHLETIC TRAINER License 302912
6/30/2017
JOHN H. WILLIAMS JR ATHLETIC TRAINER License ATH.J00049 6/30/2017
New Iberia Senior High School 1301 E Admiral Doyle Dr. NA New
Iberia LA 70560
LATASHA ANN WILLIAMS ATHLETIC TRAINER License ATH.200040
6/30/2017
ANISSA MORRIS WILLIAMSON ATHLETIC TRAINER License ATH.J00161
6/30/2017
ROBERT W. WILLIAMSON ATHLETIC TRAINER License ATH.J00015 6/30/2017
700 University Ave. Monroe LA 71209
LORETTA QUINNAN WILSON ATHLETIC TRAINER License ATH.J00193
6/30/2017 Wilson 3611 Rue Denise New Orleans LA 70131
ALLISON ERIN WOOD ATHLETIC TRAINER License ATH.200357 6/30/2017
Ochsner Sports Medicine Institute 1201 S. Clearview Parkway
Jefferson LA 70121
PAMELA VIRGINIA WORKMAN ATHLETIC TRAINER License ATH.200339
6/30/2017 Nicholson Dr. @ N. Stadium Dr. LSU ATHLETIC
ADMINISTRATION BLDG. Baton Rouge LA
70803
VERNITA REENA YOUNG ATHLETIC TRAINER License ATH.200289 6/30/2017
403 Main Street Grambling LA 71245
GUSTAVE WALTER YOUNGER III ATHLETIC TRAINER License ATH.J00122
6/30/2017 Lake Charles Memorial Sports Medicine Lake Charles
Memorial Sports Medicine 2025 OAK PARK
BLVD Lake Charles LA 70601
REBECCA GAIL YOUNGER ATHLETIC TRAINER License ATH.200459 6/30/2017
UNO Athletics 6801 Franklin Ave. New Orleans LA 70122
RONELLE MARY AYMAMI-BROCKWAY CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0012 8/31/2017 Tulane University ST CHARLES AVE NEW ORLEANS
LA 70003
ETTA JANE ARRANT BAKER CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0162 6/30/2017 309 Jackson St. Monroe LA 71210-1901
KERI GLASGOW BLANCHARD CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0041 1/31/2017 Thrift Town Health Mart Pharmacy 512 N. 2ND St
Amite LA 70422
HARRY GOLEN BOLNO CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0057
1/31/2017
DALSON MATTHEW BOREL CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0190 11/30/2017
BETH MARIE BOULET CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0006
7/31/2017 BATON ROUGE LA
MARTHA MCBRIDE BRANDON CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0021 1/31/2017 Martha Brandon 1020 Riverwood Drive Longview
TX 75604
JAMES EVERETT BUXTON CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0123 3/31/2017 Beauregard Memorial Hospital 600 S PINE ST
DERIDDER LA 70634
JANIE LOWERY CARRICO CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0197 5/31/2017 401 E VAUGHN AVE. Ruston LA 71273-1367
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
CHERYL J. CRANFORD-VANHOOF CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0187 3/31/2017 Rapides Regional Medical Center 211 4th St.
CARDIAC REHABILITATION
Alexandria LA 71301
PATRICIA FAULK DARTEZ CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0087 10/31/2017 Opelousas General Health System 539 Prudhomme
St Opelousas LA 70570
M JOYCE DEASON CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0064
11/30/2017 Willis-Knighton Medical System 8001 Youree Drive N/A
Shreveport LA 71115
DANIEL L. DOUCET CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0002
6/30/2017 Ochsner Sports Medicine Institute 3601 Houma Blvd., Site
204 New Orleans LA 70121
TIMOTHY KEITH DUNAWAY CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0146 1/31/2017
JOHN GARDNER DUNLAP CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0040
10/31/2017 8585 PICARDY AVE. Baton Rouge LA 70809
GERALD WAYNE DUNNE CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0145
12/31/2016 Therapy Dynamics, LLC 207 VALIANT LN SLIDELL LA
70458
DONNA JEANETTE DUVALL CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0089 10/31/2017 301 W FERTITTA BLVD LEESVILLE LA 71446
JACQUELYN SUE ECKELS-NEAL CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0129 4/30/2017 Jackie Neal 303 ARLINGTON DR. W MONROE LA
71291-9786
MANUEL FUENTES III CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0016
7/31/2017 1214 Coolidge Ave. Lafayette LA 70503
TORI DALE GERALD CLINICAL EXERCISE PHYSIOLOGY License 301704
7/31/2017 4200 Houma Blvd. Metairie 70006
SHANNA VINCENT GILBERT CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0010 12/31/2016 1701 Oak Park Blvd. Lake Charles LA
70601
TINA DAVIS GREER CLINICAL EXERCISE PHYSIOLOGY License CEP.200002
2/28/2017 Rapides Regional Medical Center 724 Scott Street 211 4TH
STREET Alexandria LA 71301
BARRETT JUDE GUIDRY CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0199
10/31/2017 Entech 2101 JEFFERSON ST Lafayette LA 70501
DAVID EDWARDS HEATH CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0133
2/28/2017 CHRISTUS Health - St. Frances Cabrini Hospital 3330
MASONIC DR ALEXANDRIA
LA 71301-3841
AUDIE PAUL HYMEL CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0134
2/28/2017 2541 CYPRESS LAWN DR. MARRERO LA 70072
MARCUS NEAL KING CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0195
5/31/2017 407 CINCINNATI STREET DELHI LA 71232-3007
PATRICIA MAURICE KNOBLACH CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0094 10/31/2017 504 Woodcock Ct. Slidell LA 70461
RAYMOND WILLIAM MANGHAM CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0051 8/31/2017 3600 FLORIDA BLVD BATON ROUGE LA 70806
JULIE DEJEAN MARKS CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0107
12/31/2017 1150 KATHERINE DR OPELOUSAS LA 70570
CLAIRE H. MCCORMICK CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0201
1/31/2017
GAY LEVERN MCKENZIE CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0097
8/31/2017 MS
JOAN KNECHT MEYER CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0024
9/30/2017 Louisiana Heart Hospital 64030 LA Hwy 434 LACOMBE LA
70445
TRACY MOENS CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0013
9/30/2017 East Jefferson General Hospital 4200 HOUMA BLVD EJGH
METAIRIE LA 70011-8213
MARTIN JAMES MONTGOMERY CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0099 3/31/2017 1221 S. CLEARVIEW PKWY. BLDG. A 2ND FL
Jefferson LA 70123
CELESTE A. MULE CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0175
11/30/2017 Celeste Mule' 3305 Chateau Blvd. Kenner LA 70065
TAMMY M. MURPHY CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0031
2/28/2017 North Oaks Medical Center 15790 Paul Vega MD Dr. Hammond
LA 70403
BRUCE MICHAEL O'DELL CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0157 3/31/2017 3446 MASONIC DRIVE ALEXANDRIA LA 71301
JESSICA BOOTY OGLESBY CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0127 11/30/2017 1203 S Tyler St. Ste A Covington LA
70433
TRACIE C. PARKER CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0152
2/28/2017 1268 S Hampton Dr. Alexandria LA 71303
LUCINDA YOST PERRET CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0020
8/31/2017 East Jefferson General Hospitals 5028 GLENDALE STREET
Metairie LA 70006
MICHAEL CHRISTOPHER POSSENO JR. CLINICAL EXERCISE PHYSIOLOGY
License 303055 3/31/2017
CONNIE SMILEY REEVES CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0033 10/31/2017 LA TECH. UNIVERSITY, DEPART. OF KINESIOLOGY
P.O. 3176 RUSTON LA
71270
STACY MICHAEL RICHOUX CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0116 4/30/2017 1101 MEDICAL CENTER BLVD MARRERO LA
70072
JOHN MICHAEL SANDERS CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0202 6/30/2017 IBERIA MEDICAL CENTER 2315 E. MAIN ST New
Iberia LA 70560
ROBERT A. SLOAN CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0203
4/30/2017
JACOBUS NICOLAAS SMIT CLINICAL EXERCISE PHYSIOLOGY License
CEP.200008 3/31/2017 Frontera Strategies 400 E. LAS COLINAS BLVD.,
SUITE 100 Irving TX 75039
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
TIMOTHY M. SMITH CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0198
3/31/2017 408 Weavers Way Shreveport LA 71103-0000
MELINDA SUZANNE SOTHERN CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0105 1/31/2017 2020 Gravier Street LIONS BUILDING, 3RD FLOOR
NEW ORLEANS LA 70112
BYRON DOYLE SPEIGHTS JR CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0106 11/30/2017 WellnessWorks P.O. BOX 640 Picayune MS
39466
DAVID MARK SPEIRER CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0009
2/28/2017 16300 Hwy 1085 Covington LA 70433
LYDIA BRADY SWILLIE CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0140
9/30/2017 2600 TOWER DRIVE STE. 205 MONROE LA 71201
MICHAEL WILLARD THERIOT CLINICAL EXERCISE PHYSIOLOGY License
CEP.CE0017 8/31/2017
NANCY IRENE WEBB CLINICAL EXERCISE PHYSIOLOGY License CEP.200007
2/28/2017 St. Tammany Parish Hospital 16300 Hwy 1085 Covington LA
70433
MEGAN BERRY WILLIAMS CLINICAL EXERCISE PHYSIOLOGY License
CEP.200006 5/31/2017 Cardiac Rehab Services, LLC 1025 VICTOR II
BLVD., STE L Morgan City LA 70380
TRACY M. WOOD CLINICAL EXERCISE PHYSIOLOGY License CEP.CE0022
12/31/2017 NMSU- Dept of Kinesiology and Dance PO Box 30001 Las
cruces NM 88011
ALLISON RAE ABBOTT CLS - GENERALIST License CLP.202442-GEN
12/31/2016
NEIL L ABBOTT JR CLS - GENERALIST License CLP.G01695-GEN 12/31/2017
THIBODAUX REGIONAL MEDICAL CENTER 602 N Acadia Rd LAB Thibodaux LA
70301
SUZANNE D ABSHIRE CLS - GENERALIST License CLP.G00172-GEN
12/31/2017 Lake Charles Memorial Hospital LAKE CHARLES MEM HOSP
1701 OAK PARK BLVD LAKE
CHARLES LA 70601-0000
BATON ROUGE LA 70816
MICHAEL A ACCETTELLA CLS - GENERALIST License CLP.G03304-GEN
12/31/2016 LDEQ 2129 RAINBOW DR. BLDG. 31 PINEVILLE LA 71360
HEIDI KRAEMER ADAME CLS - GENERALIST License 301484
12/31/2016
BRANDON PAUL ADAMS CLS - GENERALIST License CLP.201720-GEN
12/31/2017 Baton Rouge General Medical Center 8585 PICARDY AVE
Baton Rouge LA 70809
CHRISTINE T ADAMS CLS - GENERALIST License CLP.G02730-GEN
12/31/2017 St Tammany Parish Hospital 1202 South Tyler Street
COVINGTON LA 70433
DON PATRICK ADAMS JR CLS - GENERALIST License CLP.203340-GEN
12/31/2016 2000 CANAL ST.#5502 New Orleans LA 70112
FELECIA TOUSSAINT ADAMS CLS - GENERALIST License CLP.G03840-GEN
12/31/2016 510 E Stoner Shreveport LA 71101
JOYCE C ADAMS CLS - GENERALIST License CLP.G01020-GEN 12/31/2017
Our Lady of the Angels Hospital OUR LADY OF THE ANGELS HOSPITAL 433
PLAZA BOGALUSA LA
70427-0000
KAILEE ELIZABETH ADAMS CLS - GENERALIST License CLP.202632-GEN
12/31/2016
KORIN MICHELLE ADAMS CLS - GENERALIST License 303352
12/31/2017
REBECCA GUIDRY ADAMS CLS - GENERALIST License CLP.G03359-GEN
12/31/2016
RUTHIE L ADAMS CLS - GENERALIST License CLP.G03460-GEN 12/31/2017
WK BOSSIER 2400 HOSPITAL DR BOSSIER CITY LA 71111
STACEY L ADAMS CLS - GENERALIST License CLP.G01144-GEN 12/31/2016
southeastern veterans healthcare systems-va 7850 anselmo lane baton
rouge LA 70810
VIRGINIA MARIE ADAMS CLS - GENERALIST License CLP.201975-GEN
12/31/2017 95 East Fairway Dr. Covington LA 70433
RACHEL DAWN ADCOCK CLS - GENERALIST License CLP.203615-GEN
12/31/2016 ST. FRANCIS MEDICAL CENTER - NORTH 3421 MEDICAL PARK DR.
MONROE LA 71203
CAROLYN ADDINGTON CLS - GENERALIST License CLP.G00035-GEN
12/31/2017 WINN PARISH MED CTR 301 W BOUNDARY WINNFIELD LA
71483
CHRIS VINCENT ALILAEN ADVINCULA CLS - GENERALIST License
CLP.203506-GEN 12/31/2016 CHRISTUS HEALTH ST. FRANCES CABRINI
HOSPITAL 3330 MASONIC
DRIVE Alexandria LA 71303-3841
JESSICA COMPTON AGUILLARD CLS - GENERALIST License CLP.201451-GEN
12/31/2017 IMPERIAL HEALTH LABORATORY 501 Dr. Michael DeBakey Drive
Lake Charles LA
70601
ST VILLE PLATTE LA 70586
THERESA CAYE AGUILLARD CLS - GENERALIST License 300779
12/31/2017
JEENA JOSE AJI CLS - GENERALIST License 303939 12/31/2017
KRISTIN LEA ALLEN ALBEE CLS - GENERALIST License CLP.202944-GEN
12/31/2016 Delta Pathology ONE SAINT MARY PLACE Shreveport LA
71101
ALEXANDRA MIKAIL ALBERES CLS - GENERALIST License CLP.204648-GEN
12/31/2016 CARDIOVASCULAR INSTITUTE OF THE SOUTH 225 DUNN ST Houma
LA 70360
MATTHEW WAYNE ALBRITTON CLS - GENERALIST License CLP.200401-GEN
12/31/2016 100 WESTRIDGE DR. West Monroe LA 71291
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
CHRISTINE A. ALEXANDER CLS - GENERALIST License CLP.G01560-GEN
12/31/2016
KIM ALEXANDER CLS - GENERALIST License CLP.G04026-GEN 12/31/2016
Ochsner/St. Anne Gen. Ochsner/St. Anne Gen. 4608 HIGHWAY 1 RACELAND
LA 70394-2623
SEBASTIAN CODY ALEXANDER CLS - GENERALIST License 303350
12/31/2017
AKERA GRIFFIN ALEXIS CLS - GENERALIST License CLP.G04157-GEN
12/31/2017 UNITED MEDICAL CENTER NEW ORLEANS LA 70112-0000
CHRISTINA YVETTE ALFORD CLS - GENERALIST License CLP.G03729-GEN
12/31/2017 Our Lady of the Angels 433 PLAZA BOGALUSA LA 70427
LISA SHEFFIELD ALFORD CLS - GENERALIST License CLP.200122-GEN
12/31/2016 Lisa Alford HENDERSON BAYOU PRAIRIEVILLE LA 70769
ANNE S ALGU CLS - GENERALIST License CLP.G03372-GEN
12/31/2016
RAFAT A ALKURD CLS - GENERALIST License CLP.G02356-GEN 12/31/2017
St Bernard Parish Hospital 8000 W. Judge Perez Dr. Chalmette LA
70043
TAMARA L. ALLBRIGHT CLS - GENERALIST License CLP.G02727-GEN
12/31/2016 Siemens Healthcare Diagnostics
BETTY A ALLBRITTON CLS - GENERALIST License CLP.G02121-GEN
12/31/2017 ST FRANCIS MED CTR LABORATORY 309 JACKSON ST MONROE LA
71201
FARON JAMES ALLEMAND CLS - GENERALIST License CLP.202217-GEN
12/31/2017 Leonard J. Chabert Medical Center Ochsner Health Systems
1978 Industrial Blvd. Houma LA 70363
CYNTHIA L ALLEN CLS - GENERALIST License CLP.G01022-GEN 12/31/2017
OLOLRMC 5000 HENNESSY BLVD BATON ROUGE LA 70808
DAWN M ALLEN CLS - GENERALIST License CLP.G02208-GEN 12/31/2016
15481 W. Club Deluxe Rd. Hammond LA 70403
DONALYN DORNECK ALLEN CLS - GENERALIST License CLP.204247-GEN
12/31/2016
JESSE J ALLEN CLS - GENERALIST License CLP.G00029-GEN 12/31/2017
LifeCare Hospitals of Shreveport 9320 Linwood Avenue LABORATORY
Shreveport LA 71106
KAREN ALLEN CLS - GENERALIST License CLP.G00040-GEN 12/31/2017
WILLIS KNIGHTON HEALTH SYSTEM 2600 Greenwood Rd Shreveport LA
71103
REGINA ALLEN CLS - GENERALIST License CLP.G04286-GEN 12/31/2017
DELTA PATHOLOGY 2219 LINE AVENUE Shreveport LA 71104
DEANA WHITNEY ALLISON CLS - GENERALIST License CLP.203408-GEN
12/31/2016 Willis Knighton Willis Knighton Health System 2600
GREENWOOD RD. Shreveport LA 71103-
2600
JOHN PAUL ALVENDIA CLS - GENERALIST License CLP.204058-GEN
12/31/2016 Ochsner Ochsner 1514 JEFFERSON HWY. Jefferson LA
70001
LENA MARIE ALVIS CLS - GENERALIST License CLP.204105-GEN 12/31/2016
1900 Richmond Rd. Lexington KY 40502
JANICE B AMMONS CLS - GENERALIST License CLP.G02187-GEN
12/31/2016
CECILIA O AMOR CLS - GENERALIST License CLP.G01600-GEN 12/31/2016
ALTON OCHSNER MEM FN. 1516 JEFF HWY NEW ORLEANS LA 70121
MA. ELNIE TANES AMPIG CLS - GENERALIST License CLP.204270-GEN
12/31/2017 Beauregard Memorial Hospital 600 south pine st deridder
LA 70634
LANA M ANCAR CLS - GENERALIST License CLP.G01912-GEN 12/31/2016
DHH-Office of Aging and Adult Services 1450 POYDRAS STREET SUITE
1133 NEW ORLEANS LA 70112
BETTY R. ANDERSON CLS - GENERALIST License CLP.203525-GEN
12/31/2017 203 WOODSONG WAY TERRY MS 39170
COLLEEN WATTS ANDERSON CLS - GENERALIST License CLP.G04205-GEN
12/31/2017 Green Clinic Green Clinic 1200 S. FARMERVILLE STREET
Ruston LA 71270
LINDA J ANDERSON CLS - GENERALIST License CLP.G01445-GEN 12/31/2017
Pathology Resource Network 3000 KNIGHT ST. BLDG. 5 STE. 220
Shreveport LA 71105
RONNIE ANDERSON JR CLS - GENERALIST License CLP.203616-GEN
12/31/2016 210 Champagne Blvd. BREAUX BRIDGE LA 70517
TERESA D ANDERSON CLS - GENERALIST License CLP.G02349-GEN
12/31/2016 OCHSNER HEALTH SYSTEM 1516 JEFF HWY NEW ORLEANS LA
70121
WILLIAM M. ANDERSON CLS - GENERALIST License CLP.G02735-GEN
12/31/2017 TX
DONNA LYNN ANDING CLS - GENERALIST License CLP.G04102-GEN
12/31/2017 LAKE CHARLES MEMORIAL HOSP 1701 OAK PARK BOULEVARD LAKE
CHARLES LA 70601
RICHARD ROY ANDREWS JR CLS - GENERALIST License CLP.200809-GEN
12/31/2016 PO BOX 303 Columbia LA 71418
MONICA B ANDRUS CLS - GENERALIST License CLP.G02857-GEN 12/31/2017
W.O. Moss Memorial Health Clinic 1000 WALTERS STREET LAKE CHARLES
LA 70607
CAROL A ANGELL CLS - GENERALIST License CLP.G00168-GEN 12/31/2017
1516 Jefferson Hwy. New Orleans LA 70121
MICHELLE C ANKENY CLS - GENERALIST License CLP.G02007-GEN
12/31/2017 Woman's Hospital 100 Woman's Way Baton Rouge LA
70817
MARY BOSE ANREDER CLS - GENERALIST License CLP.G01239-GEN
12/31/2016 Associated Pathologists' Laboratory, PA 208 Thompson
Ave. El Dorado AR 71730
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
ELIZABETH MARIE BREAUX ARBAUGH CLS - GENERALIST License
CLP.203205-GEN 12/31/2017 SLVHCS 3000 CANAL BLVD. NEW ORLEANS LA
70112
LILIANA LORENA ARCE CLS - GENERALIST License CLP.203144-GEN
12/31/2016 Lab Trust 400 River Highlands Blvd Covington LA
70433
FRANK K ARCENEAUX CLS - GENERALIST License CLP.G01944-GEN
12/31/2016 Our Lady of Lourdes Regional Medical Center 4801
Ambassador Caffery Pkwy Lafayette LA 70508
ALONNA KATE ARDOIN CLS - GENERALIST License CLP.201514-GEN
12/31/2017
MICHAEL WINN ARDOIN CLS - GENERALIST License CLP.202271-GEN
12/31/2017 West Calcasieu Cameron Hopsital 701 Cypress St. Sulphur
LA 70663
ANA D AREVALO CLS - GENERALIST License CLP.G00170-GEN 12/31/2017
Ochsner Clinical Foundation 1514 Jefferson Highway NEW ORLEANS LA
70059
VIKKI L ARGRAVE CLS - GENERALIST License CLP.G03409-GEN 12/31/2016
Acadia General Hospital 1305 CROWLEY RAYNE HWY. CROWLEY LA
70526-9986
BENJAMIN C ARLEDGE CLS - GENERALIST License CLP.G01111-GEN
12/31/2017 ACADIA GENERAL HOSPITAL 1305 CROWLEY RAYNE HWY CROWLEY
LA 70526
ELISA ARMENTOR CLS - GENERALIST License CLP.G03891-GEN 12/31/2016
LIFESHARE BLOOD CENTERS 214 Dr. Michael DeBakey Drive Lake Charles
LA 70601
CHELSI CHANCE ARMSTRONG CLS - GENERALIST License 302615
12/31/2016
SHANEQUA MONIQUE ARMSTRONG CLS - GENERALIST License 301859
12/31/2016
VERNITA S ARMSTRONG CLS - GENERALIST License CLP.G01428-GEN
12/31/2017 Willis Knighton Health System 2600 GREENWOOD ROAD
Shreveport LA 71103
MICHAEL G. ARNOLD CLS - GENERALIST License CLP.202718-GEN
12/31/2017 Mississippi Baptist Medical Center 1225 NORTH STATE
STREET JACKSON MS 39202
SUSAN ELIZABETH ARRINDELL CLS - GENERALIST License CLP.204196-GEN
12/31/2016 Willis Knighton Health System Willis Knighton 2400
HOSPITAL DR. Bossier City LA 71111
ANNA ARSHAD CLS - GENERALIST License CLP.G02703-GEN 12/31/2017
University Medical Center New Orleans 2000 CANAL STREET New Orleans
LA 70112
BENJAMIN LOGAN ARTHUR CLS - GENERALIST License CLP.201294-GEN
12/31/2017 Willis Knighton Health System 8001 Youree Drive
Shreveport LA 71115
DEBORAH S ASHCRAFT CLS - GENERALIST License CLP.G01780-GEN
12/31/2017 OCHSNER CLINIC FOUNDATION- RESEARCH/R. FREEMAN RESEARCH
BLDG RM 221 1516
JEFFERSON HWY NEW ORLEANS LA 70121
CAROL F ASHLEY CLS - GENERALIST License CLP.G00176-GEN 12/31/2017
LSUHSC- SHREVEPORT 1501 KINGS HIGHWAY P O BOX 33932 SHREVEPORT LA
71130
EVAN CLIFTON ASHLEY CLS - GENERALIST License CLP.203541-GEN
12/31/2016 Hardtner Medical Center 3131 N Pine Rd. Olla LA
71465
NOVELYN P ASKINS CLS - GENERALIST License CLP.G01094-GEN 12/31/2016
23571 Plank Rd. LA
JEANNE P ATCHETTE CLS - GENERALIST License CLP.G01939-GEN
12/31/2017 Women's and Children's Hospital 4600 Amb Caffery Pkwy
4600 AMB CAFFERY PKWY LAFAYETTE
LA 70508-1607
GRACE B. ATHAS CLS - GENERALIST License CLP.203976-GEN 12/31/2017
LSU HSC DEPARTMENT OF PATHOLOGY 1901 PERDIDO ST. New Orleans LA
70112-1393
WENDY R ATNIP CLS - GENERALIST License CLP.G03760-GEN 12/31/2017
University Health Shreveport 1541 KINGS HWY C2-35 Shreveport LA
71103
ELIZABETH ATTARDO CLS - GENERALIST License CLP.G00033-GEN
12/31/2017 Ochsner Hospital 1516 JEFFERSON HWY. Jefferson LA
70115
PETER P ATTARDO CLS - GENERALIST License CLP.G00042-GEN 12/31/2017
Tulane Hosptial Lab 1415 TULANE AVE New Orlenas LA 70112
KATHLEEN MARIE AUBIN CLS - GENERALIST License CLP.G02431-GEN
12/31/2017 TULANE MED CTR 1415 TULANE AVE NEW ORLEANS LA
70112-2699
JEAN-JACQUES AUCOIN CLS - GENERALIST License CLP.G03994-GEN
12/31/2016 LA OFFICE OF PUBLIC HEALTH LAB 1209 LEESVILLE AVE BATON
ROUGE LA 70802
TABITHA ROSE AUCOIN CLS - GENERALIST License CLP.203466-GEN
12/31/2017 Our Lady of Lourdes RMC 4801 AMBASSADOR CAFFERY PKWY.
Lafayette LA 70508-6917
TONI OLIVA AUCOIN CLS - GENERALIST License CLP.201219-GEN
12/31/2016 LA
JEANIE E. AUDIRSCH CLS - GENERALIST License CLP.G01634-GEN
12/31/2016
MELISSA ELBERTA AUDLER CLS - GENERALIST License CLP.201150-GEN
12/31/2016 11 Sundown Lane CARRIERE MS 39426
ASHLEY HOFT AUTIN CLS - GENERALIST License CLP.202629-GEN
12/31/2017 Ortho Clinical Diagnositcs 100 INDIGO CREEK DRIVE MB#897
ROCHESTER NY 14626
SHEILA L AUTIN CLS - GENERALIST License CLP.G02160-GEN 12/31/2017
Lake Charles Memorial Hospital for Women 1900 WEST GAUTHIER ROAD
Lake Charles LA 70605
JERALD P AUZENNE JR CLS - GENERALIST License CLP.200373-GEN
12/31/2017
VICTORIA RENEE AVERY CLS - GENERALIST License CLP.203269-GEN
12/31/2016 WEST CALCASIEU CAMERON HOSPITAL 701 CYPRESS ST SULPHUR
LA 70663
FRANCISCO LEO AVILA CLS - GENERALIST License CLP.201968-GEN
12/31/2016 200 Henry Clay Ave NEW ORLEANS LA 70118
CYNTHIA EVELYN AYCOCK CLS - GENERALIST License CLP.G04415-GEN
12/31/2017 Singing River Hospital 2809 DENNY AVE PASCAGOULA MS
39581
OFFICIAL LIST OF ACTIVE LICENSEES Louisiana State Board of Medical
Examiners, 630 Camp Street, New Orleans, LA 70130 (504)
568-6820
Last Updated: December 2016
MYRA JEAN AYCOCK CLS - GENERALIST License CLP.G01784-GEN 12/31/2017
109 CIRCLE DRIVE WEST MONROE LA 71291
CRISTY LYNN AYMOND CLS - GENERALIST License CLP.201021-GEN
12/31/2017 Baton Rouge General 8585 Picardy Avenue Baton Rouge LA
70809
CHRISTEN BRITTANY BABB CLS - GENERALIST License CLP.203203-GEN
12/31/2016
ROSS ALAN BABB CLS - GENERALIST License CLP.201398-GEN 12/31/2017
RAPIDES REGIONAL MEDICAL CENTER 211 FOURTH STREET ALEXANDRIA LA
71301
SHERYL EILEEN BABIN CLS - GENERALIST License CLP.G04416-GEN
12/31/2016 TERREBONNE GENERAL MEDICAL CENTER 8166 MAIN STREET HOUMA
LA 70364
ARNOLD J. BACA III CLS - GENERALIST License CLP.203165-GEN
12/31/2016 OBGYN Associates of Shreveport 7941 YOUREE DRIVE
Shreveport LA 71105
DANIA MILAGROS BACH CLS - GENERALIST License CLP.201519-GEN
12/31/2016 LA
MADONNA ANN BACHMAN CLS - GENERALIST License CLP.202182-GEN
12/31/2017 DoctorsManagement 10401 Kingston Pike Knoxville TN
37922-3282
MELISSA A BACINO CLS - GENERALIST License CLP.G04562-GEN 12/31/2017
SLVHCS 2237 POYDRAS ST NEW ORLEANS LA 70119
NANCY MORROW BAER CLS - GENERALIST License CLP.G01063-GEN
12/31/2017 St. Francis Medical Center 309 JACKSON ST. Monroe LA
71201
SARAH ELIZABETH BAERWOLF CLS - GENERALIST License CLP.204618-GEN
12/31/2016 Henry Ford West Bloomfield 6777 W. MAPLE ROAD West
Bloomfield MI 48322
DENISE P BAHAM CLS - GENERALIST License CLP.G00453-GEN 12/31/2016
OCHSNER MEDICAL CENTER NORTH SHORE HOSPITAL 100 Medical Center
Drive Slidell LA 70461
YIFANG BAI CLS - GENERALIST License CLP.203877-GEN 12/31/2017
KELLY L BAILEY CLS - GENERALIST License CLP.G01624-GEN 12/31/2017
University Health Conway 4864 JACKSON ST MONROE LA 71202
JOYCE LIANE BAIRD CLS - GENERALIST License CLP.201000-GEN
12/31/2016 Christus Highland Medical Center 1453 BERT KOUNS
Shreveport, LA LA 71105
MONA K BAKEER CLS - GENERALIST License CLP.G04581-GEN 12/31/2016
Louisiana State University Heath Sciences Center- Department of
Clinical Laboratory Sciences 1900 GTAVIER
STREET ROOM 10F2 NEW ORLEANS LA 70123
MARCIA T BALDWIN CLS - GENERALIST License CLP.G00180-GEN 12/31/2017
Woman's Hospital WOMANS HOSPITAL 100 WOMAN'S WAY BATON ROUGE LA
70817
BEVERLY G BALHOFF CLS - GENERALIST License CLP.G00864-GEN
12/31/2016 Baton Rouge Urology 7777 Hennessy Blvd, Suite 2004 BATON
ROUGE LA 70808
HEATHER L BALL CLS - GENERALIST License CLP.G03855-GEN 12/31/2016
VA Medical Center 2495 Shreveport Highway PINEVILLE LA 71360
KAREN BARNES BALL CLS - GENERALIST License CLP.G02697-GEN
12/31/2017
TERESA L BALL CLS - GENERALIST License CLP.G01282-GEN 12/31/2017
LSU FAMILY MEDICINE 821 Elliott St Alexandria LA 71301
KELLEY BALLMANN CLS - GENERALIST License CLP.G00192-GEN 12/31/2016
Touro Infirmary 1401 FOUCHER ST. New Orleans LA 70115
CHRISTOPHER TROY BAMBURG CLS - GENERALIST License CLP.202401-GEN
12/31/2016 Willis-Knighton Medical Center-Pierremont 8001 Youree
Dr. Shreveport LA 71115
KIMBERLY D. BAMBURG CLS - GENERALIST License CLP.G01961-GEN
12/31/2017 Willis-Knighton South Health Systems 1510 W BERT KOUNS
INDUSTRIAL LOOP Shreveport LA
71118
RICK W BANKER CLS - GENERALIST License CL