Louisiana
Board of Licensing
DANIEL WILLA MARIE
Medical
License number
OTA.Z20140
Date expires
03/31/2015
Class
Medical
Status
Active
Address
37315 LAKESHORE AVENUE, PRAIRIEVILLE, LA 70769
louisianalicensing.com
ID 21981967
LAST UPDATED 2024-03-12 02:45:36 UTC
LAST UPDATED 2024-03-12 02:45:36 UTC