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 2024-03-18 02:38:46 UTC
LAST UPDATED 2024-03-18 02:38:46 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.