Louisiana
Board of Licensing
WASHINGTON IVORY J
Medical
License number
CLP.T00033-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
4140 Hollywood Ave, Shreveport, LA 71109
louisianalicensing.com
ID 21850286
LAST UPDATED 2024-04-07 00:56:03 UTC
LAST UPDATED 2024-04-07 00:56:03 UTC