Louisiana
Board of Licensing
Ellender Jennifer Lane
Medical
License number
CLP.200931-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
830 Bayou Pines Drive W, Lake Charles, LA 70665
louisianalicensing.com
ID 21824301
LAST UPDATED 2024-04-25 15:51:38 UTC
LAST UPDATED 2024-04-25 15:51:38 UTC