Daniel Richard Berg
Controlled Substance Registration - Physician
Indiana 01030985C Expired
This Indiana license was held by Daniel Richard Berg. The license is no longer active. It was granted on 09/07/2000 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01030985C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/07/2000 (almost 24 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
2620 N. Walnut Street, Suite 400, Bloomington IN 47404