Louisiana
Board of Licensing
Short Tracee Chavawn
Medical
License number
MD.206571
Date expires
05/31/2015
Class
Medical
Status
Active
Address
3401 North Blvd, Suite 200B, Baton Rouge, LA 70806
louisianalicensing.com
ID 21963805
LAST UPDATED 2024-04-12 00:18:23 UTC
LAST UPDATED 2024-04-12 00:18:23 UTC