Louisiana
Board of Licensing
Long Gwendolyn Jane
Medical
License number
LRT.000478
Date expires
12/31/2014
Class
Medical
Status
Active
Address
8835 Line Ave. Ste 500, Shreveport, LA 71106
louisianalicensing.com
ID 21870469
LAST UPDATED 2024-02-20 14:37:20 UTC
LAST UPDATED 2024-02-20 14:37:20 UTC