The holder whose full name is Royston III, Charles E.,come from Pendleton IN,hold the Phys Ther Assistant license(NO.06004259A) which status is Active.
| Name | Royston III, Charles E. |
|---|---|
| License Number | 06004259A |
| License Type | Phys Ther Assistant |
| License Status | Active |
| City | Pendleton |
| State | IN |