Indiana
Professional Licensing Agency
Annie-Laurie Slater
Radiology Provisional Permit
License number
XP505897
Date granted
10/02/2014
Date expires
04/02/2015
Class
Radiology Provisional Permit
Status
Active
Address
Connersville IN 47331
indianalicensing.org
ID 29206141
LAST UPDATED 2026-04-29 19:40:51 UTC
LAST UPDATED 2026-04-29 19:40:51 UTC
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