License holder summary

Fuller Tiffany LaNae is a Medical licensed to practice in Louisiana. The address on file for Fuller Tiffany LaNae is 2401 North Service Rd. East, Ruston, LA 71270.

Louisiana

Board of Licensing

Fuller Tiffany LaNae
Medical
License number
OTA.200396
Date expires
08/31/2015
Class
Medical
Status
Active
Address
2401 North Service Rd. East, Ruston, LA 71270
louisianalicensing.com
ID 21982427
LAST UPDATED 2024-04-23 08:14:34 UTC

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