Louisiana
Board of Licensing
ELLIS DIANNE DALLAS
Medical
License number
CRT.LT3667
Date expires
05/31/2015
Class
Medical
Status
Active
Address
1 ST MARY PL, SHREVEPORT, LA 71119
louisianalicensing.com
ID 21853717
LAST UPDATED 2024-05-05 01:59:12 UTC
LAST UPDATED 2024-05-05 01:59:12 UTC