Louisiana
Board of Licensing
Bubenzer Carrie Michael
Medical
License number
PA.200579.RX
Date expires
06/30/2015
Class
Medical
Status
Active
Address
1500 Line Ave., Ste. 100, Shreveport, LA 71101
louisianalicensing.com
ID 22002371
LAST UPDATED 2026-05-23 00:05:11 UTC
LAST UPDATED 2026-05-23 00:05:11 UTC