Louisiana
Board of Licensing
MARTIN HAZEL FERN
Medical
License number
ACA.200026
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1116 COOLIDGE STREET, LAFAYETTE, LA 70503
louisianalicensing.com
ID 21758916
LAST UPDATED 2024-03-06 20:52:04 UTC
LAST UPDATED 2024-03-06 20:52:04 UTC