The holder whose full name is HENRY, CHARLES LONG,come from AUGUSTA GA,hold the Physical Therapist license(NO.05000957A) which status is Expired.
| Name | HENRY, CHARLES LONG |
|---|---|
| License Number | 05000957A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | AUGUSTA |
| State | GA |