Louisiana
Board of Licensing
Suire Lance Matthew
Medical
License number
OTT.200616
Date expires
07/31/2015
Class
Medical
Status
Active
Address
New Iberia Manor North, 1803 Jane Street, New Iberia, LA 70563
louisianalicensing.com
ID 21999221
LAST UPDATED 2024-04-07 15:13:07 UTC
LAST UPDATED 2024-04-07 15:13:07 UTC