Louisiana
Board of Licensing
FORTENBERRY CANDACE ELIZABETH
Medical
License number
OTT.200311
Date expires
12/31/2014
Class
Medical
Status
Active
Address
63126 Cinnamon Drive, Angie, LA 70426
louisianalicensing.com
ID 21991229
LAST UPDATED 2026-05-05 21:13:18 UTC
LAST UPDATED 2026-05-05 21:13:18 UTC