Louisiana
Board of Licensing
Blackburn Carrie Lyn DeRossett
Medical
License number
CLP.203069-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Shriner's Hospitals for Children, 1900 Richmond Road, Lexington, KY 40502
louisianalicensing.com
ID 21765626
LAST UPDATED 2024-04-18 17:08:01 UTC
LAST UPDATED 2024-04-18 17:08:01 UTC