Louisiana
Board of Licensing
Kidder Benjamin Glenn
Medical
License number
MD.203585
Date expires
09/30/2015
Class
Medical
Status
Active
Address
10101 Park Rowe Ave., Suite 200, Baton Rouge, LA 70810-1685
louisianalicensing.com
ID 21930858
LAST UPDATED 2026-05-20 18:33:04 UTC
LAST UPDATED 2026-05-20 18:33:04 UTC