License holder summary

Lavonne M. Bastnagel is a Physician licensed to practice in Indiana. The address on file for Lavonne M. Bastnagel is Indianapolis IN 46260. This licensed professional license is not current. The license was granted 08/26/1953 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lavonne M. Bastnagel
Physician
License number
01016787A
Date granted
08/26/1953
Date expires
10/31/2015
Class
Physician
Status
Inactive
Address
Indianapolis IN 46260
indianalicensing.org
ID 6062841
LAST UPDATED 2024-03-19 23:25:33 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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