Louisiana
Board of Licensing
WILTZ DEBRA FAYE
Medical
License number
CLP.T00363-TCH
Date expires
12/31/2014
Class
Medical
Status
Active
Address
FAMILY MEDICAL CENTER, 2750 ASTER STREET, LAKE CHARLES, LA 70601
louisianalicensing.com
ID 21850592
LAST UPDATED 2024-04-13 16:38:41 UTC
LAST UPDATED 2024-04-13 16:38:41 UTC