License holder summary

Charles J. Zickus is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Charles J. Zickus is 3206 Mallard Cove Lane, Fort Wayne IN 46804-2883. This licensed professional license is current. The license was granted 09/20/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Charles J. Zickus
Controlled Substance Registration-Osteopathic Physician
License number
02002997B
Date granted
09/20/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3206 Mallard Cove Lane, Fort Wayne IN 46804-2883
indianalicensing.org
ID 5800326
LAST UPDATED 2024-03-30 02:29:25 UTC

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