License holder summary

Wallace Larryetta Wilson is a Medical licensed to practice in Louisiana. The address on file for Wallace Larryetta Wilson is 5130 Mancuso Lane, Baton Rouge, LA 70809.

Louisiana

Board of Licensing

Wallace Larryetta Wilson
Medical
License number
LRT.000636
Date expires
09/30/2015
Class
Medical
Status
Active
Address
5130 Mancuso Lane, Baton Rouge, LA 70809
louisianalicensing.com
ID 21873401
LAST UPDATED 2026-04-05 01:41:23 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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