Louisiana
Board of Licensing
FOWLKES MATTHEW WAYNE
Medical
License number
MD.207238
Date expires
04/30/2015
Class
Medical
Status
Active
Address
LSUHSC, 2020 Gravier St., 70112, LA 70112
louisianalicensing.com
ID 21909574
LAST UPDATED 2026-08-11 09:51:17 UTC
LAST UPDATED 2026-08-11 09:51:17 UTC