The holder whose full name is Russell, Bethany Lynn,come from Bloomington IN,hold the Optometric Legend Drug Certificate license(NO.18003593B) which status is Active.
| Name | Russell, Bethany Lynn |
|---|---|
| License Number | 18003593B |
| License Type | Optometric Legend Drug Certificate |
| License Status | Active |
| City | Bloomington |
| State | IN |