Louisiana
Board of Licensing
Wallace Tracy Pasqua
Medical
License number
MD.204717
Date expires
04/30/2015
Class
Medical
Status
Active
Address
2647 S.St. Elizabeth Blvd, Gonzales, LA 70737
louisianalicensing.com
ID 21974111
LAST UPDATED 2024-03-15 01:13:35 UTC
LAST UPDATED 2024-03-15 01:13:35 UTC