License holder summary

Jonathan Andrew Bernstein is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jonathan Andrew Bernstein is 4041 Parnell Avenue, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 08/04/2006 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Jonathan Andrew Bernstein
Controlled Substance Registration - Dentist
License number
12010887B
Date granted
08/04/2006
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4041 Parnell Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5095174
LAST UPDATED 2024-03-21 09:26:28 UTC

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