Louisiana
Board of Licensing
Wallace Eli William
Medical
License number
OTT.200733
Date expires
10/31/2014
Class
Medical
Status
Active
Address
The Fontana Center, 709 Kaliste Saloom Rd, Lafayette, LA 70508
louisianalicensing.com
ID 22000082
LAST UPDATED 2024-02-24 20:58:43 UTC
LAST UPDATED 2024-02-24 20:58:43 UTC