Louisiana
Board of Licensing
Tanner, Martin B.
Medical
License number
MD.012039
Date expires
09/30/2015
Class
Medical
Status
Active
Address
501 Medical Center Dr. (Box 30107), Alexandria, LA 71301-0107
louisianalicensing.com
ID 21968757
LAST UPDATED 2024-05-04 09:58:52 UTC
LAST UPDATED 2024-05-04 09:58:52 UTC