Louisiana
Board of Licensing
RANDALL SHANNON E
Medical
License number
POLY.000208
Date expires
02/28/2015
Class
Medical
Status
Active
Address
224 St. Landry Street, Ste 2B, Lafayette, LA 70506
louisianalicensing.com
ID 22011749
LAST UPDATED 2024-01-21 00:35:53 UTC
LAST UPDATED 2024-01-21 00:35:53 UTC