License holder summary

IVY JACQUELINE PENN is a Medical licensed to practice in Louisiana. The address on file for IVY JACQUELINE PENN is 1501 KINGS HWY, SHREVEPORT, LA 71130.

Louisiana

Board of Licensing

IVY JACQUELINE PENN
Medical
License number
CLP.T00621-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1501 KINGS HWY, SHREVEPORT, LA 71130
louisianalicensing.com
ID 21847924
LAST UPDATED 2024-02-14 02:35:49 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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