Department of Safety and Professional Services
Board of Medical Practice
Jacob Michael Taverna
Medical - Physician And Surgeon
License number
29803
Date granted
11/09/1985
Date expires
12/31/1987
Class
Medical - Physician And Surgeon
Status
Canceled
Address
380 Roosevelt Dr, Butte, MT 59701
doctorsminnesota.org
ID 22317357
LAST UPDATED 2024-03-30 14:54:43 UTC
LAST UPDATED 2024-03-30 14:54:43 UTC
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