Louisiana
Board of Licensing
Shute Creighton Edward
Medical
License number
DO.000309
Date expires
06/30/2015
Class
Medical
Status
Active
Address
1875 15th Street, Fort Polk, LA 71459
louisianalicensing.com
ID 21864354
LAST UPDATED 2024-02-23 02:22:25 UTC
LAST UPDATED 2024-02-23 02:22:25 UTC