IVY JACQUELINE PENN
Medical
Louisiana CLP.T00621-TCH Active
This Louisiana license is held by IVY JACQUELINE PENN. The license expired on 12/31/2014.
LICENSE DETAILS
- License Number: CLP.T00621-TCH
- Category: Medical
- Status: Active
- Expiry Date: 12/31/2014 (over 9 years ago)
LOCATIONS
A Address
1501 KINGS HWY, SHREVEPORT, LA 71130
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