Louisiana
Board of Licensing
Otto Tara Marie
Medical
License number
MD.206116
Date expires
04/30/2015
Class
Medical
Status
Active
Address
11995 Singletree Lane, Ste 500, Eden Prarie, MN 55344
louisianalicensing.com
ID 21952045
LAST UPDATED 2026-04-03 16:27:58 UTC
LAST UPDATED 2026-04-03 16:27:58 UTC