LUIS S BENGERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067545

License Status

NOT RENEWED

Business

First Name

LUIS S

Last Name

BENGERO

Suffix

Business Name

LUIS S BENGERO MD

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/1993

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006