Louisiana
Board of Licensing
BENNETT JIMMY DALE
Medical
License number
PEF.200006
Date expires
04/30/2015
Class
Medical
Status
Active
Address
3925 Brookeflower Lane, Lake Charles, LA 70605
louisianalicensing.com
ID 22010287
LAST UPDATED 2024-03-11 08:27:16 UTC
LAST UPDATED 2024-03-11 08:27:16 UTC