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 2026-05-31 10:30:18 UTC
LAST UPDATED 2026-05-31 10:30:18 UTC