Indiana
Professional Licensing Agency
Warren Lund Bergwall
Controlled Substance Registration - Physician
License number
01016178B
Date granted
04/30/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BALL MEMORIAL HOSPITAL, 2401 UNIVERSITY AVE, MUNCIE IN 47303
indianalicensing.org
ID 5899610
LAST UPDATED 2024-03-14 18:00:02 UTC
LAST UPDATED 2024-03-14 18:00:02 UTC
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