Louisiana
Board of Licensing
HARTLINE PHILLIP R
Medical
License number
CLP.G02066-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
104 GEN LEE DRIVE, VIVIAN, LA 71082
louisianalicensing.com
ID 21803070
LAST UPDATED 2026-06-24 16:10:06 UTC
LAST UPDATED 2026-06-24 16:10:06 UTC