Robert T. Bergman
Controlled Substance Registration - Dentist
Indiana 12009216C Expired
This Indiana license was held by Robert T. Bergman. The license is no longer active. It was granted on 11/28/2000 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12009216C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/28/2000 (over 23 years ago)
- Expiry Date: 03/01/2012 (about 12 years ago)
LOCATIONS
A Address
Columbus Oral and Maxillofacial Surgery, 324 West Second Street, Seymour IN 47274-2199