Louisiana
Board of Licensing
EZERNACK EMMITT WAYNE
Medical
License number
RRT.L01389
Date expires
03/31/2015
Class
Medical
Status
Active
Address
1501 Kings Hwy, Shreveport, LA 71130
louisianalicensing.com
ID 22014889
LAST UPDATED 2024-05-10 04:36:38 UTC
LAST UPDATED 2024-05-10 04:36:38 UTC