License holder summary

LAVERNE B TUBERGEN MD is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for LAVERNE B TUBERGEN MD is 9002 NORTH MERIDIAN ST #204, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 08/21/1975 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

LAVERNE B TUBERGEN MD
Medical Licensing Board - Medical Corporation
License number
50000952A
Date granted
08/21/1975
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
9002 NORTH MERIDIAN ST #204, INDIANAPOLIS IN 46260
indianalicensing.org
ID 24828865
LAST UPDATED 2026-04-16 02:35:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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