Louisiana
Board of Licensing
Pennywell Thea Cora
Medical
License number
PA.200405.RX
Date expires
11/30/2014
Class
Medical
Status
Active
Address
7925 Youree Dr., Shreveport, LA 71105
louisianalicensing.com
ID 22007444
LAST UPDATED 2024-05-03 04:12:06 UTC
LAST UPDATED 2024-05-03 04:12:06 UTC