Louisiana
Board of Licensing
Bennett Kelly Johnston
Medical
License number
CLP.202020-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
West Carroll Health Systems, 319 N Hood St, Lake Providence, LA 71254
louisianalicensing.com
ID 21821195
LAST UPDATED 2024-04-03 07:40:26 UTC
LAST UPDATED 2024-04-03 07:40:26 UTC