Louisiana
Board of Licensing
Gillum Scott R.
Medical
License number
PA.200106
Date expires
08/31/2015
Class
Medical
Status
Active
Address
7925 Youree Dr. Ste 200, Shreveport, LA 71105
louisianalicensing.com
ID 22004362
LAST UPDATED 2024-04-06 14:08:56 UTC
LAST UPDATED 2024-04-06 14:08:56 UTC