License holder summary

MICHAEL C TAVENNER is a Physician licensed to practice in Indiana. The address on file for MICHAEL C TAVENNER is EVANSVILLE IN 47712. This licensed professional license is not current. The license was granted 06/25/1974 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

MICHAEL C TAVENNER
Physician
License number
01025510A
Date granted
06/25/1974
Date expires
06/30/1993
Class
Physician
Status
Expired Non-Renewable
Address
EVANSVILLE IN 47712
indianalicensing.org
ID 6049252
LAST UPDATED 2024-03-25 14:39:08 UTC

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