The holder whose full name is Sloan, Demetria T.,come from South Bend IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP504009) which status is Superceded.
| Name | Sloan, Demetria T. |
|---|---|
| License Number | XP504009 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | South Bend |
| State | IN |