Louisiana
Board of Licensing
Prudhomme Denita Lynn
Medical
License number
CLP.203570-PHL
Date expires
12/31/2014
Class
Medical
Status
Active
Address
108 Exchange Place Suite 110, Lafayette, LA 70503-2558
louisianalicensing.com
ID 21842400
LAST UPDATED 2024-04-23 00:33:07 UTC
LAST UPDATED 2024-04-23 00:33:07 UTC