Louisiana
Board of Licensing
Broussard Jacob Paul
Medical
License number
ATH.200192
Date expires
06/30/2015
Class
Medical
Status
Active
Address
Louisiana Athletic Care, 1307 Old Jeanerette Rd, New Iberia, LA 70563
louisianalicensing.com
ID 21761885
LAST UPDATED 2024-03-21 19:30:06 UTC
LAST UPDATED 2024-03-21 19:30:06 UTC