Louisiana
Board of Licensing
Jackson Kenneth K.
Medical
License number
CRT.200406
Date expires
02/28/2015
Class
Medical
Status
Active
Address
2810 Ambassador Caffery Pkwy., # 239, Lafayette, LA 70506
louisianalicensing.com
ID 21855567
LAST UPDATED 2024-02-25 03:34:16 UTC
LAST UPDATED 2024-02-25 03:34:16 UTC