The holder whose full name is Russell, Cory L.,come from Cloverdale IN,hold the Pharmacy Tech In-Training license(NO.99050753A) which status is Superceded.
| Name | Russell, Cory L. |
|---|---|
| License Number | 99050753A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Cloverdale |
| State | IN |