Louisiana
Board of Licensing
Block Jennifer Michelle
Medical
License number
PA.200100.RX
Date expires
04/30/2015
Class
Medical
Status
Active
Address
136 Hospital Drive, Ste. 100, Lafayette, LA 70503
louisianalicensing.com
ID 22001829
LAST UPDATED 2026-05-05 16:51:51 UTC
LAST UPDATED 2026-05-05 16:51:51 UTC