License holder summary

WALLACE REGINA D is a Medical licensed to practice in Louisiana. The address on file for WALLACE REGINA D is 1541 King Hwy, SHREVEPORT, LA 71103.

Louisiana

Board of Licensing

WALLACE REGINA D
Medical
License number
CLP.T00767-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1541 King Hwy, SHREVEPORT, LA 71103
louisianalicensing.com
ID 21850275
LAST UPDATED 2026-04-16 11:56:03 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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