Louisiana
Board of Licensing
PETROSE PHYLLIS T
Medical
License number
CLP.T00048-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
4401 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560
louisianalicensing.com
ID 21849311
LAST UPDATED 2024-05-18 00:49:48 UTC
LAST UPDATED 2024-05-18 00:49:48 UTC