Louisiana
Board of Licensing
VAN NESS RILLA COULTER
Medical
License number
CLP.G03396-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
OVERTON BROOKS VA MED CTR, 510 STONER AVE, SHREVEPORT, LA 71101
louisianalicensing.com
ID 21817275
LAST UPDATED 2024-03-13 03:48:02 UTC
LAST UPDATED 2024-03-13 03:48:02 UTC