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 2026-03-23 09:59:08 UTC
LAST UPDATED 2026-03-23 09:59:08 UTC
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