License holder summary

BRIAN NICHOLAS IVANOVIC is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for BRIAN NICHOLAS IVANOVIC is 6311 APPLEJACK RUN, FORT WAYNE IN 46814. This licensed professional license is current. The license was granted 08/06/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

BRIAN NICHOLAS IVANOVIC
Controlled Substance Registration-Osteopathic Physician
License number
02001852B
Date granted
08/06/1997
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
6311 APPLEJACK RUN, FORT WAYNE IN 46814
indianalicensing.org
ID 5800271
LAST UPDATED 2024-04-26 00:19:16 UTC

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