Louisiana
Board of Licensing
Warden Douglas Wade
Medical
License number
MD.205773
Date expires
12/31/2014
Class
Medical
Status
Active
Address
3445 Executive Center Dr., Suite #250, Austin, TX 78731
louisianalicensing.com
ID 21974478
LAST UPDATED 2024-05-02 15:22:05 UTC
LAST UPDATED 2024-05-02 15:22:05 UTC