The holder whose full name is Russell, Laura Lee,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99026754A) which status is Superceded.
| Name | Russell, Laura Lee |
|---|---|
| License Number | 99026754A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |