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 2024-04-07 04:45:24 UTC
LAST UPDATED 2024-04-07 04:45:24 UTC