License holder summary

BRIAN STEWART ZACHARIAH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRIAN STEWART ZACHARIAH is MADISON CLINIC, 722 WEST MAIN ST, MADISON IN 47250. This licensed professional license is not current. The license was granted 02/23/1988 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

BRIAN STEWART ZACHARIAH
Controlled Substance Registration - Physician
License number
01036530B
Date granted
02/23/1988
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CLINIC, 722 WEST MAIN ST, MADISON IN 47250
indianalicensing.org
ID 5886300
LAST UPDATED 2024-02-02 09:10:38 UTC

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