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 2024-03-13 13:50:48 UTC
LAST UPDATED 2024-03-13 13:50:48 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.