License holder summary

Joseph Byamugisha Beraho is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Joseph Byamugisha Beraho is St. Josephs Regional Hospital, 1915 Lake Road, Plymouth IN 46563. This licensed professional license is not current. The license was granted 12/09/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Joseph Byamugisha Beraho
Controlled Substance Registration - Physician
License number
01053005B
Date granted
12/09/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Josephs Regional Hospital, 1915 Lake Road, Plymouth IN 46563
indianalicensing.org
ID 5910558
LAST UPDATED 2024-03-31 19:56:18 UTC

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