Louisiana
Board of Licensing
SMITH FREDERICK WAYNE
Medical
License number
OTA.Z20609
Date expires
11/30/2014
Class
Medical
Status
Active
Address
11616 Southfork Ave., Ste 101, Baton Rouge, LA 70816
louisianalicensing.com
ID 21985846
LAST UPDATED 2024-04-15 08:11:51 UTC
LAST UPDATED 2024-04-15 08:11:51 UTC