Louisiana
Board of Licensing
Blackburn Susan O'Brien
Medical
License number
OTT.Z11674
Date expires
05/31/2015
Class
Medical
Status
Active
Address
209 Front St., Vidalia, LA 71373
louisianalicensing.com
ID 21988152
LAST UPDATED 2024-03-01 10:34:03 UTC
LAST UPDATED 2024-03-01 10:34:03 UTC