Louisiana
Board of Licensing
VITAL JERRY ANN
Medical
License number
RRT.L01131
Date expires
04/30/2015
Class
Medical
Status
Active
Address
1000 WALTERS STREET, LAKE CHARLES, LA 70607
louisianalicensing.com
ID 22020665
LAST UPDATED 2024-02-18 05:49:14 UTC
LAST UPDATED 2024-02-18 05:49:14 UTC