Louisiana
Board of Licensing
Russak Anna Marie
Medical
License number
CLP.202410-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
555 Black Oak Drive Suite 100, Medford, OR 97504
louisianalicensing.com
ID 21849627
LAST UPDATED 2024-03-14 23:51:18 UTC
LAST UPDATED 2024-03-14 23:51:18 UTC