Louisiana
Board of Licensing
Wells Stacey Maxine
Medical
License number
MD.206857
Date expires
06/30/2015
Class
Medical
Status
Active
Address
LSUHSC, 1501 Kings Highway, Shreveport, LA 70130
louisianalicensing.com
ID 21975237
LAST UPDATED 2023-12-30 07:35:34 UTC
LAST UPDATED 2023-12-30 07:35:34 UTC