Louisiana
Board of Licensing
Ingram Johnny Kevin
Medical
License number
MD.200671
Date expires
01/31/2015
Class
Medical
Status
Active
Address
1154 Logan Sewell Drive, Vidalia, LA 71373
louisianalicensing.com
ID 21924463
LAST UPDATED 2026-07-20 22:34:10 UTC
LAST UPDATED 2026-07-20 22:34:10 UTC