The holder whose full name is Zickus, Charles J.,come from Fort Wayne IN,hold the CSR-Osteopathic Physician license(NO.02002997B) which status is Active.
| Name | Zickus, Charles J. |
|---|---|
| License Number | 02002997B |
| License Type | CSR-Osteopathic Physician |
| License Status | Active |
| City | Fort Wayne |
| State | IN |