Louisiana
Board of Licensing
WALLACE TARA EZELL
Medical
License number
OTA.200015
Date expires
01/31/2015
Class
Medical
Status
Active
Address
32 Crothers Dr., Tallulah, LA 71282-7455
louisianalicensing.com
ID 21986466
LAST UPDATED 2024-05-02 18:42:34 UTC
LAST UPDATED 2024-05-02 18:42:34 UTC