Louisiana
Board of Licensing
VAN DERVORT JILL C
Medical
License number
RRT.L01205
Date expires
01/31/2015
Class
Medical
Status
Active
Address
824 Elmwood Park Blvd Ste 145, New Orleans, LA 70123
louisianalicensing.com
ID 22020644
LAST UPDATED 2026-04-05 23:08:51 UTC
LAST UPDATED 2026-04-05 23:08:51 UTC