Louisiana
Board of Licensing
SIMON KIM DIETZ
Medical
License number
OTT.Z11659
Date expires
06/30/2015
Class
Medical
Status
Active
Address
200 West Esplande ave., Suite 601, Kenner, LA 70065
louisianalicensing.com
ID 21998651
LAST UPDATED 2024-03-26 17:41:48 UTC
LAST UPDATED 2024-03-26 17:41:48 UTC