Louisiana
Board of Licensing
Kallam, Ajay Shubhadeep
Medical
License number
MD.204798
Date expires
07/31/2015
Class
Medical
Status
Active
Address
1453 E. Bert Kouns Industrial Loop, Shreveport, LA 71105
louisianalicensing.com
ID 21928192
LAST UPDATED 2026-06-13 14:44:31 UTC
LAST UPDATED 2026-06-13 14:44:31 UTC