Louisiana
Board of Licensing
Nachawati Wisam
Medical
License number
PA.200721
Date expires
09/30/2015
Class
Medical
Status
Active
Address
2551 Greenwood Rd., Ste. #210, Shreveport, LA 71103
louisianalicensing.com
ID 22007118
LAST UPDATED 2026-04-03 09:26:01 UTC
LAST UPDATED 2026-04-03 09:26:01 UTC