Indiana
Professional Licensing Agency
Stephanie Ann Bergstein
Controlled Substance Registration - Physician
License number
01042405B
Date granted
04/13/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
12065 Old Meridian St. Suite 100, Carmel IN 46032
indianalicensing.org
ID 5831982
LAST UPDATED 2024-03-26 04:51:42 UTC
LAST UPDATED 2024-03-26 04:51:42 UTC
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