Louisiana
Board of Licensing
Wallace Clintin Spencer
Medical
License number
OTA.200278
Date expires
06/30/2015
Class
Medical
Status
Active
Address
1 Hospital Dr, Ste 200, Jennings, LA 70546
louisianalicensing.com
ID 21986222
LAST UPDATED 2026-06-01 20:08:18 UTC
LAST UPDATED 2026-06-01 20:08:18 UTC