The holder whose full name is Slack, Andrea L.,come from Markleville IN,hold the Dental Radiographer license(NO.XT019317) which status is Active.
| Name | Slack, Andrea L. |
|---|---|
| License Number | XT019317 |
| License Type | Dental Radiographer |
| License Status | Active |
| City | Markleville |
| State | IN |