Louisiana
Board of Licensing
KOLL BRENT A
Medical
License number
CLP.G03908-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
WILLIS KNIGHTON HEALTH SYSTEM, 2510 BERT KOUNS IND LOOP, SHREVEPORT, LA 71118-0000
louisianalicensing.com
ID 21807211
LAST UPDATED 2024-04-09 10:26:51 UTC
LAST UPDATED 2024-04-09 10:26:51 UTC