Louisiana
Board of Licensing
PAYNE BRENDAN ANTHONY
Medical
License number
RRT.L01380
Date expires
09/30/2015
Class
Medical
Status
Active
Address
OVERTON BROOKS VA MEDICAL CENTER, 510 EAST STONER AVE, SHREVEPORT, LA 71101
louisianalicensing.com
ID 22018607
LAST UPDATED 2024-02-16 21:09:16 UTC
LAST UPDATED 2024-02-16 21:09:16 UTC