License holder summary

Timothy Stephen Berger is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Timothy Stephen Berger is 1620 Saint Joe River Drive, Fort Wayne IN 46805-1434. This licensed professional license is current. The license was granted 08/21/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Timothy Stephen Berger
Controlled Substance Registration - Dentist
License number
12008676B
Date granted
08/21/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1620 Saint Joe River Drive, Fort Wayne IN 46805-1434
indianalicensing.org
ID 5096319
LAST UPDATED 2024-02-24 16:39:24 UTC

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