Louisiana
Board of Licensing
PERTUIT TRACIE LYNN
Medical
License number
OTT.Z11963
Date expires
01/31/2015
Class
Medical
Status
Active
Address
4080 W. Airline Hwy., Reserve, LA 70084
louisianalicensing.com
ID 21997130
LAST UPDATED 2024-02-21 09:07:30 UTC
LAST UPDATED 2024-02-21 09:07:30 UTC