Louisiana
Board of Licensing
Jackson-Black Marlethius C
Medical
License number
CLP.P00164-PHL
Date expires
12/31/2014
Class
Medical
Status
Active
Address
OMEGA DIAGNOSTIC LAB, 1453 E. BERT KUNNS IND LOOP, SHREVEPORT, LA 71105
louisianalicensing.com
ID 21840872
LAST UPDATED 2024-05-13 14:49:22 UTC
LAST UPDATED 2024-05-13 14:49:22 UTC