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
LAST UPDATED 2026-04-16 11:56:03 UTC