Louisiana
Board of Licensing
Green, Johnny R.
Medical
License number
CRT.200275
Date expires
05/31/2015
Class
Medical
Status
Active
Address
613 Del Sol Pass, Covington, LA 70433
louisianalicensing.com
ID 21854638
LAST UPDATED 2024-04-05 07:42:56 UTC
LAST UPDATED 2024-04-05 07:42:56 UTC