License holder summary

BRADSTREET ANTRICE JACKSON is a Medical licensed to practice in Louisiana. The address on file for BRADSTREET ANTRICE JACKSON is 1220 BARATARIA BLVD, MARRERO, LA 70072.

Louisiana

Board of Licensing

BRADSTREET ANTRICE JACKSON
Medical
License number
CLP.L01607-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1220 BARATARIA BLVD, MARRERO, LA 70072
louisianalicensing.com
ID 21821677
LAST UPDATED 2026-04-07 06:36:38 UTC

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