The holder whose full name is Slater, Brian A,come from Vincennes IN,hold the Temp Mental Hlth Coun Permit license(NO.99063850A) which status is Active.
| Name | Slater, Brian A |
|---|---|
| License Number | 99063850A |
| License Type | Temp Mental Hlth Coun Permit |
| License Status | Active |
| City | Vincennes |
| State | IN |