Louisiana
Board of Licensing
WAGNER SHELLY BOUDREAUX
Medical
License number
CLP.L01721-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Allen`s Family Practice, P. O. Box 129, PONCHATOULA, LA 70454
louisianalicensing.com
ID 21836710
LAST UPDATED 2024-04-23 13:52:10 UTC
LAST UPDATED 2024-04-23 13:52:10 UTC