Indiana
Professional Licensing Agency
Brent Dean Bergen
Controlled Substance Registration - Physician
License number
01044927B
Date granted
10/15/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PERRY COUNTY HOSPITAL, 1 HOSPITAL ROAD, TELL CITY IN 47586
indianalicensing.org
ID 5924022
LAST UPDATED 2024-03-16 04:35:47 UTC
LAST UPDATED 2024-03-16 04:35:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.