Louisiana
Board of Licensing
PAYTON KELLY M.
Medical
License number
RRT.200175
Date expires
10/31/2014
Class
Medical
Status
Active
Address
3983 I-49 South Service Rd. 2nd Fl, Opelousas, LA 70570
louisianalicensing.com
ID 22018610
LAST UPDATED 2024-04-19 15:04:32 UTC
LAST UPDATED 2024-04-19 15:04:32 UTC