The holder whose full name is BERGAL, MILTON B,come from PORTAGE IN,hold the Event Physician license(NO.PH04990001) which status is Expired Non-Renewable.
| Name | BERGAL, MILTON B |
|---|---|
| License Number | PH04990001 |
| License Type | Event Physician |
| License Status | Expired Non-Renewable |
| City | PORTAGE |
| State | IN |