Louisiana
Board of Licensing
GENTRY TINA FAITH
Medical
License number
PA.A10432
Date expires
10/31/2014
Class
Medical
Status
Active
Address
4801 Line Ave., Ste. 16, Shreveport, LA 71106
louisianalicensing.com
ID 22004353
LAST UPDATED 2024-04-01 17:18:12 UTC
LAST UPDATED 2024-04-01 17:18:12 UTC