License holder summary

Ralph Anthony Berman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ralph Anthony Berman is 710 WEST INDIANA AVENUE, SOUTH BEND IN 46613. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 03/01/1992.

Indiana

Professional Licensing Agency

Ralph Anthony Berman
Controlled Substance Registration - Dentist
License number
12004279B
Date granted
04/30/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
710 WEST INDIANA AVENUE, SOUTH BEND IN 46613
indianalicensing.org
ID 5123384
LAST UPDATED 2024-05-06 14:41:37 UTC

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