The holder whose full name is SMITH, CHARLES EDMOND,come from PETOSKEY MI,hold the Physical Therapist license(NO.05000860A) which status is Expired.
| Name | SMITH, CHARLES EDMOND |
|---|---|
| License Number | 05000860A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | PETOSKEY |
| State | MI |