Louisiana
Board of Licensing
MATT STACEY TRAHAN
Medical
License number
OTT.200158
Date expires
03/31/2015
Class
Medical
Status
Active
Address
MEDSOURCE, 401 N College Rd #4, Lafayette, LA 70506
louisianalicensing.com
ID 21995365
LAST UPDATED 2024-04-29 07:21:11 UTC
LAST UPDATED 2024-04-29 07:21:11 UTC