Louisiana
Board of Licensing
Wild, Alan P. K.
Medical
License number
MD.017463
Date expires
07/31/2015
Class
Medical
Status
Active
Address
1465 S Grand Blvd. #B-824, St. Louis, MO 63104
louisianalicensing.com
ID 21976066
LAST UPDATED 2026-06-27 08:30:38 UTC
LAST UPDATED 2026-06-27 08:30:38 UTC