Louisiana
Board of Licensing
Ellis Frederick T
Medical
License number
CLP.201369-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Willis Knighton Health System, 2400 Doctor's Drive, Bossier City, LA 71111
louisianalicensing.com
ID 21798226
LAST UPDATED 2024-04-02 23:38:00 UTC
LAST UPDATED 2024-04-02 23:38:00 UTC