License holder summary

TIETJE MALCOLM H is a Medical licensed to practice in Louisiana. The address on file for TIETJE MALCOLM H is P.O. Box 3767, Baton Rouge, LA 70821-3767.

Louisiana

Board of Licensing

TIETJE MALCOLM H
Medical
License number
CLP.G03662-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
P.O. Box 3767, Baton Rouge, LA 70821-3767
louisianalicensing.com
ID 21816918
LAST UPDATED 2024-04-08 17:27:48 UTC

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