Louisiana
Board of Licensing
Ingram Stephen Tyler
Medical
License number
PA.200740
Date expires
02/28/2015
Class
Medical
Status
Active
Address
7925 Youree Dr., Shre, LA 71105
louisianalicensing.com
ID 22005478
LAST UPDATED 2024-03-03 08:22:01 UTC
LAST UPDATED 2024-03-03 08:22:01 UTC