License holder summary

ELLIS DIANNE DALLAS is a Medical licensed to practice in Louisiana. The address on file for ELLIS DIANNE DALLAS is 1 ST MARY PL, SHREVEPORT, LA 71119.

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 2026-05-01 13:14:42 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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