The holder whose full name is RUSSELL, ANNIE,come from FORT WAYNE IN,hold the Cosmetologist license(NO.MC01382100) which status is Expired Non-Renewable.
| Name | RUSSELL, ANNIE |
|---|---|
| License Number | MC01382100 |
| License Type | Cosmetologist |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |