Louisiana
Board of Licensing
SMITH CHARLES VERNON
Medical
License number
OTA.Z20419
Date expires
08/31/2015
Class
Medical
Status
Active
Address
Pinecrest Supports and Services Center, P.O.BOX 5191, PINEVILLE, LA 71360-5191
louisianalicensing.com
ID 21985840
LAST UPDATED 2024-03-16 13:53:05 UTC
LAST UPDATED 2024-03-16 13:53:05 UTC