Green Tyson Ellis
Medical
Louisiana DPM.200024 Active
This Louisiana license is held by Green Tyson Ellis. The license expired on 08/31/2015.
LICENSE DETAILS
- License Number: DPM.200024
- Category: Medical
- Status: Active
- Expiry Date: 08/31/2015 (over 8 years ago)
LOCATIONS
A Address
1747 Imperial Blvd, Lake Charles, LA 70605
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