The holder whose full name is SLATER, KELLY IRENE,come from San Diego CA,hold the Temporary MD Permit license(NO.99003137A) which status is Superceded.
| Name | SLATER, KELLY IRENE |
|---|---|
| License Number | 99003137A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | San Diego |
| State | CA |