Louisiana
Board of Licensing
WALL STEPHANIE ANNETTE
Medical
License number
CRT.LT4087
Date expires
02/28/2015
Class
Medical
Status
Active
Address
WILLIS KNIGHTON MED CTR, 2600 GREENWOOD RD, SHREVEPORT, LA 71103
louisianalicensing.com
ID 21861212
LAST UPDATED 2026-05-12 07:28:58 UTC
LAST UPDATED 2026-05-12 07:28:58 UTC