License holder summary

MARTIN HAZEL FERN is a Medical licensed to practice in Louisiana. The address on file for MARTIN HAZEL FERN is 1116 COOLIDGE STREET, LAFAYETTE, LA 70503.

Louisiana

Board of Licensing

MARTIN HAZEL FERN
Medical
License number
ACA.200026
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1116 COOLIDGE STREET, LAFAYETTE, LA 70503
louisianalicensing.com
ID 21758916
LAST UPDATED 2021-09-17 12:50:29 UTC

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