The holder whose full name is Russell, Panola E.,come from University Park IL,hold the Clinical Addiction Counselor license(NO.87001334A) which status is Active.
| Name | Russell, Panola E. |
|---|---|
| License Number | 87001334A |
| License Type | Clinical Addiction Counselor |
| License Status | Active |
| City | University Park |
| State | IL |