Wyatt Tanner Jack
Medical
Louisiana CLP.203159-PHL Active
This Louisiana license is held by Wyatt Tanner Jack. The license expired on 12/31/2014.
LICENSE DETAILS
- License Number: CLP.203159-PHL
- Category: Medical
- Status: Active
- Expiry Date: 12/31/2014 (over 9 years ago)
LOCATIONS
A Address
4231 Highway 1192, Marksville, LA 71351
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