Louisiana
Board of Licensing
Tan Kenneth Tan
Medical
License number
MD.203736
Date expires
06/30/2015
Class
Medical
Status
Active
Address
5820 Oberlin Drive, Ste. 205, San Diego, CA 92121
louisianalicensing.com
ID 21968737
LAST UPDATED 2026-05-25 23:07:18 UTC
LAST UPDATED 2026-05-25 23:07:18 UTC