License holder summary

JAMES RAYMOND BERGHOFF is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAMES RAYMOND BERGHOFF is 5109 REED ROAD, FORT WAYNE IN 46835. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

JAMES RAYMOND BERGHOFF
Controlled Substance Registration - Physician
License number
01017613B
Date granted
04/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5109 REED ROAD, FORT WAYNE IN 46835
indianalicensing.org
ID 5853553
LAST UPDATED 2024-04-22 11:46:13 UTC

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