Louisiana
Board of Licensing
PETTA SHAWN SPENCER
Medical
License number
OTT.Z10833
Date expires
01/31/2015
Class
Medical
Status
Active
Address
4700 S. I 10 Service Rd W, 4th Floor, Metairie, LA 70001
louisianalicensing.com
ID 21997132
LAST UPDATED 2024-04-25 16:35:17 UTC
LAST UPDATED 2024-04-25 16:35:17 UTC