Louisiana
Board of Licensing
Grom Sammie Patricia
Medical
License number
CLP.204104-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Poplar Healthcare, 3495 Hacks Cross Rd., Memphis, TN 38125
louisianalicensing.com
ID 21801637
LAST UPDATED 2024-02-29 20:07:55 UTC
LAST UPDATED 2024-02-29 20:07:55 UTC