Ralph Anthony Berman
Controlled Substance Registration - Dentist
Indiana 12004279B Expired
This Indiana license was held by Ralph Anthony Berman. The license is no longer active. It was granted on 04/30/1986 and expired on 03/01/1992
LICENSE DETAILS
- License Number: 12004279B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/30/1986 (about 38 years ago)
- Expiry Date: 03/01/1992 (about 32 years ago)
LOCATIONS
A Address
710 WEST INDIANA AVENUE, SOUTH BEND IN 46613