Louisiana
Board of Licensing
Tate Jonathan Michael
Medical
License number
MD.205238
Date expires
06/30/2015
Class
Medical
Status
Active
Address
2282 NW Northrup St 4th Fl, Portland, OR 97210
louisianalicensing.com
ID 21968957
LAST UPDATED 2024-02-22 18:03:32 UTC
LAST UPDATED 2024-02-22 18:03:32 UTC