Indiana
Professional Licensing Agency
Jason D. Russell, DC, P.C.
Chiropractic Board - Chiropractic Corporation
License number
51000466A
Date granted
09/10/2008
Date expires
01/31/2014
Class
Chiropractic Board - Chiropractic Corporation
Status
Expired
Address
12124 Lima Road, Fort Wayne IN 46818
indianalicensing.org
ID 24636415
LAST UPDATED 2024-05-20 00:18:35 UTC
LAST UPDATED 2024-05-20 00:18:35 UTC
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