Louisiana
Board of Licensing
CROCKETT TERRY C
Medical
License number
CLP.G02182-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
3101 West Napoleon Ave., Metairie, LA 70001
louisianalicensing.com
ID 21795199
LAST UPDATED 2026-05-03 23:14:55 UTC
LAST UPDATED 2026-05-03 23:14:55 UTC