The holder whose full name is Rom, Charles F.,come from Merrillville IN,hold the Physical Therapist license(NO.05010110A) which status is Expired.
| Name | Rom, Charles F. |
|---|---|
| License Number | 05010110A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | Merrillville |
| State | IN |