Louisiana
Board of Licensing
Wyatt Tanner Jack
Medical
License number
CLP.203382-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
4231 Highway 1192, Marksville, LA 71351
louisianalicensing.com
ID 21838311
LAST UPDATED 2024-04-08 08:58:56 UTC
LAST UPDATED 2024-04-08 08:58:56 UTC