The holder whose full name is Zickus, Charles J.,come from Grandville MI,hold the Temporary DO Permit license(NO.99016757A) which status is Superceded.
| Name | Zickus, Charles J. |
|---|---|
| License Number | 99016757A |
| License Type | Temporary DO Permit |
| License Status | Superceded |
| City | Grandville |
| State | MI |