The holder whose full name is BENNETT, CHARLES EDWARD,come from BENTON IL,hold the Phys Ther Assistant license(NO.06001188A) which status is Expired.
| Name | BENNETT, CHARLES EDWARD |
|---|---|
| License Number | 06001188A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | BENTON |
| State | IL |