License holder summary

Joseph William Bergeron is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Joseph William Bergeron is MID AMERICA MEDICAL PLAZA, 6110 KILGORE AVE, MUNCIE IN 47304. This licensed professional license is not current. The license was granted 06/23/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Joseph William Bergeron
Controlled Substance Registration - Physician
License number
01044440C
Date granted
06/23/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MID AMERICA MEDICAL PLAZA, 6110 KILGORE AVE, MUNCIE IN 47304
indianalicensing.org
ID 5898705
LAST UPDATED 2024-04-13 22:08:32 UTC

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