Louisiana
Board of Licensing
Ezell Shelley H.
Medical
License number
CLP.203208-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Imperial Calcasieu Medical Group, 501 Dr. Michael Debakey Dr., Lake Charles, LA 70601
louisianalicensing.com
ID 21824312
LAST UPDATED 2024-04-11 02:12:05 UTC
LAST UPDATED 2024-04-11 02:12:05 UTC