BLACKWELL JERRY DALE
Medical
Louisiana ATH.J00235 Active
This Louisiana license is held by BLACKWELL JERRY DALE. The license expired on 06/30/2015.
LICENSE DETAILS
- License Number: ATH.J00235
- Category: Medical
- Status: Active
- Expiry Date: 06/30/2015 (almost 11 years ago)
LOCATIONS
A Address
THIBODAUX HIGH SCHOOL, 1355 TIGER DR, THIBODAUX, LA 70301
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