License holder summary

Robert Jordan Berquist is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert Jordan Berquist is 124 EAST LINCOLN HIGHWAY, SCHERERVILLE IN 46375. This licensed professional license is not current. The license was granted 10/07/1996 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

Robert Jordan Berquist
Controlled Substance Registration - Dentist
License number
12009702C
Date granted
10/07/1996
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
124 EAST LINCOLN HIGHWAY, SCHERERVILLE IN 46375
indianalicensing.org
ID 5121621
LAST UPDATED 2024-02-02 19:21:18 UTC

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