Louisiana
Board of Licensing
TATE KEVIN MATTHEW
Medical
License number
OTT.Z11851
Date expires
01/31/2015
Class
Medical
Status
Active
Address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4398
louisianalicensing.com
ID 21999463
LAST UPDATED 2026-04-23 09:12:52 UTC
LAST UPDATED 2026-04-23 09:12:52 UTC