Indiana
Professional Licensing Agency
Lowell Lumalang Bengero
Controlled Substance Registration-Physician Assistant
License number
10000579C
Date granted
07/30/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1260 Innovation Parkway Suite 100, Greenwood IN 46143
indianalicensing.org
ID 8386874
LAST UPDATED 2026-04-27 08:01:29 UTC
LAST UPDATED 2026-04-27 08:01:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.