Robert T. Bergman
Controlled Substance Registration - Dentist
Indiana 12009216B Active
This Indiana license is held by Robert T. Bergman. The license is currently active. It was granted on 09/21/1990 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009216B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 09/21/1990 (over 33 years ago)
- Expiry Date: 03/01/2016 (about 8 years ago)
LOCATIONS
A Address
2350 North Park Drive, Columbus IN 47203-4466
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