Louisiana
Board of Licensing
Miller Timothy Wayne
Medical
License number
CLP.202233-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
323 west wallnut, bastrop, LA 71220
louisianalicensing.com
ID 21810634
LAST UPDATED 2024-03-24 09:43:19 UTC
LAST UPDATED 2024-03-24 09:43:19 UTC