Louisiana
Board of Licensing
BENJAMIN TARA DANIELLE
Medical
License number
MD.202920
Date expires
01/31/2015
Class
Medical
Status
Active
Address
550 N. University Blvd., Rm 2440, Indianapolis, IN 46202
louisianalicensing.com
ID 21881921
LAST UPDATED 2026-04-17 02:23:15 UTC
LAST UPDATED 2026-04-17 02:23:15 UTC