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 2026-06-03 11:13:40 UTC

This website is unaffiliated with Louisiana and its licensing agencies. Please verify all information directly with the relevant official government authority.

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