The holder whose full name is Slater, Karsten Bruce,come from Newburgh IN,hold the Medical Residency Permit license(NO.11014544A) which status is Superceded.
| Name | Slater, Karsten Bruce |
|---|---|
| License Number | 11014544A |
| License Type | Medical Residency Permit |
| License Status | Superceded |
| City | Newburgh |
| State | IN |