Louisiana
Board of Licensing
Carpenter Andre' Jacob
Medical
License number
PA.200495.RX
Date expires
10/31/2014
Class
Medical
Status
Active
Address
780 Bayou Pines Dr, Lake Charles, LA 70601
louisianalicensing.com
ID 22002416
LAST UPDATED 2024-04-28 21:59:43 UTC
LAST UPDATED 2024-04-28 21:59:43 UTC