Louisiana
Board of Licensing
Mack Kym R
Medical
License number
CLP.G00028-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1514 Jefferson Hwy., Jefferson, LA 70121
louisianalicensing.com
ID 21809295
LAST UPDATED 2024-04-17 14:57:28 UTC
LAST UPDATED 2024-04-17 14:57:28 UTC