Louisiana
Board of Licensing
Lissard Jerri A.
Medical
License number
OTT.Z11767
Date expires
09/30/2015
Class
Medical
Status
Active
Address
420 W Pinhook Rd., Lafayette, LA 70503
louisianalicensing.com
ID 21994799
LAST UPDATED 2024-05-18 16:55:46 UTC
LAST UPDATED 2024-05-18 16:55:46 UTC