Louisiana
Board of Licensing
Fuqua Jason Brian
Medical
License number
MD.201762
Date expires
10/31/2014
Class
Medical
Status
Active
Address
920 First Ave., Sulphur, LA 70663
louisianalicensing.com
ID 21910725
LAST UPDATED 2024-02-13 11:30:32 UTC
LAST UPDATED 2024-02-13 11:30:32 UTC