Louisiana
Board of Licensing
MOSS VERNON
Medical
License number
OTT.Z10600
Date expires
09/30/2015
Class
Medical
Status
Active
Address
109 Kiowa St, MONROE, LA 71203
louisianalicensing.com
ID 21996260
LAST UPDATED 2024-02-21 02:00:20 UTC
LAST UPDATED 2024-02-21 02:00:20 UTC