License holder summary

VITAL JERRY ANN is a Medical licensed to practice in Louisiana. The address on file for VITAL JERRY ANN is 1000 WALTERS STREET, LAKE CHARLES, LA 70607.

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 2026-03-19 19:17:27 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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