Louisiana
Board of Licensing
Tanner William Edward
Medical
License number
CRT.LT2978
Date expires
06/30/2015
Class
Medical
Status
Active
Address
1325 Eraste Landry Rd., Lafayette, LA 70506
louisianalicensing.com
ID 21860176
LAST UPDATED 2024-04-16 17:43:11 UTC
LAST UPDATED 2024-04-16 17:43:11 UTC