Indiana
Professional Licensing Agency
Luis S. Bengero
Controlled Substance Registration - Physician
License number
01035815B
Date granted
04/10/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2938 Bryant Street, Portage IN 46368
indianalicensing.org
ID 5911139
LAST UPDATED 2024-04-01 01:03:27 UTC
LAST UPDATED 2024-04-01 01:03:27 UTC
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