License holder summary

Robert T. Bergman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert T. Bergman is 2350 North Park Drive, Columbus IN 47203-4466. This licensed professional license is current. The license was granted 09/21/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Robert T. Bergman
Controlled Substance Registration - Dentist
License number
12009216B
Date granted
09/21/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2350 North Park Drive, Columbus IN 47203-4466
indianalicensing.org
ID 5088071
LAST UPDATED 2021-07-25 14:41:14 UTC

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