The holder whose full name is Russell, Connie A.,come from North Judson IN,hold the Massage Therapist license(NO.MT20901287) which status is Expired.
| Name | Russell, Connie A. |
|---|---|
| License Number | MT20901287 |
| License Type | Massage Therapist |
| License Status | Expired |
| City | North Judson |
| State | IN |