Louisiana
Board of Licensing
Sparks Brian Wayne
Medical
License number
PA.200306.RX
Date expires
06/30/2015
Class
Medical
Status
Active
Address
502 Nella St., Minden, LA 71055
louisianalicensing.com
ID 22008880
LAST UPDATED 2024-05-07 19:42:21 UTC
LAST UPDATED 2024-05-07 19:42:21 UTC