The holder whose full name is Russell, Jason,come from Fort Wayne IN,hold the Chiro Graduate Permit license(NO.99026508A) which status is Expired Non-Renewable.
| Name | Russell, Jason |
|---|---|
| License Number | 99026508A |
| License Type | Chiro Graduate Permit |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |