Louisiana
Board of Licensing
Head Alisha D.
Medical
License number
OTA.200116
Date expires
07/31/2015
Class
Medical
Status
Active
Address
3050 Baird Rd., Shreveport, LA 71118
louisianalicensing.com
ID 21983186
LAST UPDATED 2026-05-08 15:43:07 UTC
LAST UPDATED 2026-05-08 15:43:07 UTC