License holder summary

SULLIVAN JACK is a Medical licensed to practice in Louisiana. The address on file for SULLIVAN JACK is 805 3rd Street, SW, P.O. Box 426, Magee, MS 39111.

Louisiana

Board of Licensing

SULLIVAN JACK
Medical
License number
CRT.LT3124
Date expires
03/31/2015
Class
Medical
Status
Active
Address
805 3rd Street, SW, P.O. Box 426, Magee, MS 39111
louisianalicensing.com
ID 21860158
LAST UPDATED 2026-05-10 23:08:47 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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