Louisiana
Board of Licensing
KIDWELL DONNA CUPP
Medical
License number
CLP.G03913-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
SHREVEPORT REGIONAL LAB., 533 VINE ST, SHREVEPORT, LA 71101
louisianalicensing.com
ID 21806714
LAST UPDATED 2024-03-06 08:06:37 UTC
LAST UPDATED 2024-03-06 08:06:37 UTC