Indiana
Professional Licensing Agency
Dana S. Slater
Radiology Provisional Permit
License number
XP503641
Date granted
09/22/2011
Date expires
03/22/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gaston IN 47342-9428
indianalicensing.org
ID 8491313
LAST UPDATED 2024-03-29 02:45:40 UTC
LAST UPDATED 2024-03-29 02:45:40 UTC
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