The holder whose full name is RUSSELL, JOHNNA LOUISE,come from JACKSON MS,hold the Physician license(NO.01041164A) which status is Expired Non-Renewable.
| Name | RUSSELL, JOHNNA LOUISE |
|---|---|
| License Number | 01041164A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | JACKSON |
| State | MS |