Louisiana
Board of Licensing
Lively Gayle Anne
Medical
License number
LRT.000641
Date expires
04/30/2015
Class
Medical
Status
Active
Address
3406 Main Street, Dallas, TX 75226
louisianalicensing.com
ID 21870459
LAST UPDATED 2024-02-22 20:11:46 UTC
LAST UPDATED 2024-02-22 20:11:46 UTC