Louisiana
Board of Licensing
Wood Jacob Myles
Medical
License number
MD.202160
Date expires
03/31/2015
Class
Medical
Status
Active
Address
Green Clinic-Northside, 1402 Celebrity Dr, Ruston, LA 71270
louisianalicensing.com
ID 21977467
LAST UPDATED 2024-04-05 04:55:42 UTC
LAST UPDATED 2024-04-05 04:55:42 UTC