Louisiana
Board of Licensing
Wilson Jacqueline Marie
Medical
License number
CLP.202454-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
830 W. Bayou Pines Drive, Lake Charles, LA 70601-7097
louisianalicensing.com
ID 21838273
LAST UPDATED 2024-03-24 22:16:00 UTC
LAST UPDATED 2024-03-24 22:16:00 UTC