Daniel Jordan Berquist

Controlled Substance Registration - Dentist

Indiana  12012019B   Active

This Indiana license is held by Daniel Jordan Berquist. The license is currently active. It was granted on 07/12/2013 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12012019B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 07/12/2013 (almost 11 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

11059 Broadway, Ste B, Crown Point IN 46307