Indiana
Professional Licensing Agency
GARY A BERGEN
Controlled Substance Registration - Physician
License number
01053646B
Date granted
02/09/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5529 Hohman Ave., Hammond IN 46320
indianalicensing.org
ID 5863976
LAST UPDATED 2024-02-02 11:49:29 UTC
LAST UPDATED 2024-02-02 11:49:29 UTC
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