Louisiana
Board of Licensing
MARTIN DERRICK JOHN
Medical
License number
MD.205035
Date expires
03/31/2015
Class
Medical
Status
Active
Address
Helen DeGruiter 2495 Shreveport Hwy, 71 North, Pineville, LA 71360
louisianalicensing.com
ID 21942745
LAST UPDATED 2026-06-03 10:57:11 UTC
LAST UPDATED 2026-06-03 10:57:11 UTC