Louisiana
Board of Licensing
Waggoner Codi F.
Medical
License number
CLP.204011-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
5975 Federal Hwy 80, Rayville, LA 71269
louisianalicensing.com
ID 21836706
LAST UPDATED 2024-02-08 13:26:23 UTC
LAST UPDATED 2024-02-08 13:26:23 UTC