Indiana
Professional Licensing Agency
Bernard Gerald Fogelson
Controlled Substance Registration - Physician
License number
01044638B
Date granted
01/25/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PROMPTCARE, 888 AUTO MALL, BLOOMINGTON IN 47401
indianalicensing.org
ID 5823805
LAST UPDATED 2024-03-22 20:32:19 UTC
LAST UPDATED 2024-03-22 20:32:19 UTC
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