IPPEI TAKAGI MD - Medical Doctor License in Indiana | # 036126531

IPPEI TAKAGI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126531

License Status

NOT RENEWED

Business

N

First Name

IPPEI

Last Name

TAKAGI

Suffix

MD

Business Name

IPPEI TAKAGI MD

Original Issue Date

08/20/2010

Effective Date

06/03/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014