LUIS S BENGERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

LUIS S

Last Name

BENGERO

Suffix

Business Name

LUIS S BENGERO MD

Original Issue Date

03/12/1984

Effective Date

03/12/1984

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006