Louisiana
Board of Licensing
Wallace Jamie Marie
Medical
License number
PA.200137.RX
Date expires
02/28/2015
Class
Medical
Status
Active
Address
1135 Expressway Drive, Ste 200 A, Pineville, LA 71360
louisianalicensing.com
ID 22009747
LAST UPDATED 2024-03-25 22:40:59 UTC
LAST UPDATED 2024-03-25 22:40:59 UTC