License holder summary

Luis S. Bengero is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Luis S. Bengero is 2938 Bryant Street, Portage IN 46368. This licensed professional license is current. The license was granted 04/10/1987 and expired on 10/31/2015.

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 2024-03-20 17:36:32 UTC

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