Louisiana
Board of Licensing
Self Charles Edward
Medical
License number
PA.A10425.RX
Date expires
08/31/2015
Class
Medical
Status
Active
Address
707 S Vienne, Ruston, LA 71270
louisianalicensing.com
ID 22008540
LAST UPDATED 2024-03-11 21:15:22 UTC
LAST UPDATED 2024-03-11 21:15:22 UTC