Louisiana
Board of Licensing
Shorty Samantha Leeann
Medical
License number
CLP.201170-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
5000 Hennessey Blvd, Baton Rouge, LA 70809
louisianalicensing.com
ID 21835015
LAST UPDATED 2026-03-10 19:17:01 UTC
LAST UPDATED 2026-03-10 19:17:01 UTC