Louisiana
Board of Licensing
Johnson D'etria N.
Medical
License number
OTA.200399
Date expires
10/31/2015
Class
Medical
Status
Active
Address
101 Isadore Dr., Natchitoches, LA 71457
louisianalicensing.com
ID 21983248
LAST UPDATED 2024-04-22 16:38:45 UTC
LAST UPDATED 2024-04-22 16:38:45 UTC