License holder summary

Stovall Mathew Wayne is a Medical licensed to practice in Louisiana. The address on file for Stovall Mathew Wayne is 1453 E.Bert Kouns Industrial Loop, Suite 315, Shreveport, LA 71105.

Louisiana

Board of Licensing

Stovall Mathew Wayne
Medical
License number
PA.200215
Date expires
05/31/2015
Class
Medical
Status
Active
Address
1453 E.Bert Kouns Industrial Loop, Suite 315, Shreveport, LA 71105
louisianalicensing.com
ID 22009151
LAST UPDATED 2024-02-04 05:13:27 UTC

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