Louisiana
Board of Licensing
Blazek Sue Russell
Medical
License number
POLY.000134
Date expires
07/31/2015
Class
Medical
Status
Active
Address
1150 Robert Blvd., Suite 200, Slidell, LA 70461
louisianalicensing.com
ID 22010904
LAST UPDATED 2026-06-01 23:40:46 UTC
LAST UPDATED 2026-06-01 23:40:46 UTC