Louisiana
Board of Licensing
CLARK DIANE DEBRA
Medical
License number
RRT.L01063
Date expires
04/30/2015
Class
Medical
Status
Active
Address
1501 KINGS HWY, SHREVEPORT, LA 71130
louisianalicensing.com
ID 22013755
LAST UPDATED 2024-04-21 15:54:25 UTC
LAST UPDATED 2024-04-21 15:54:25 UTC