Louisiana
Board of Licensing
WALLACE CLIFF ADRIAN
Medical
License number
CLP.G04226-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
18027 Glen Park Ave, Baton Rouge, LA 70817
louisianalicensing.com
ID 21817903
LAST UPDATED 2026-05-20 17:49:11 UTC
LAST UPDATED 2026-05-20 17:49:11 UTC