Ellis Frederick T

Medical

Louisiana  CLP.201369-GEN   Active

This Louisiana license is held by Ellis Frederick T. The license expired on 12/31/2014.

LICENSE DETAILS

  • License Number: CLP.201369-GEN
  • Category: Medical
  • Status: Active
  • Expiry Date: 12/31/2014 (over 11 years ago)

LOCATIONS

A Address

Willis Knighton Health System, 2400 Doctor's Drive, Bossier City, LA 71111