Louisiana
Board of Licensing
Divine Carla Renee
Medical
License number
CLP.201860-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
2600 Greenwood Rd., Shreveport, LA 71103
louisianalicensing.com
ID 21823482
LAST UPDATED 2026-03-16 02:33:51 UTC
LAST UPDATED 2026-03-16 02:33:51 UTC