Louisiana
Board of Licensing
PARENT PHILLIP MARK
Medical
License number
RRT.L01558
Date expires
03/31/2015
Class
Medical
Status
Active
Address
3215 North Northhills Blvd, Fayetteville, AR 72704
louisianalicensing.com
ID 22018587
LAST UPDATED 2024-03-18 10:54:37 UTC
LAST UPDATED 2024-03-18 10:54:37 UTC