Louisiana
Board of Licensing
Lewis Tom Benjamin
Medical
License number
LRT.001082
Date expires
06/30/2015
Class
Medical
Status
Active
Address
209 Front Street, Vidalia, LA 71373
louisianalicensing.com
ID 21870444
LAST UPDATED 2024-04-24 07:31:06 UTC
LAST UPDATED 2024-04-24 07:31:06 UTC