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 2026-06-05 18:46:27 UTC
LAST UPDATED 2026-06-05 18:46:27 UTC
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