KEN JULIAN TAKEKOSHI MD - Medical Doctor License in Minnesota | # 036114264

KEN JULIAN TAKEKOSHI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114264

License Status

NOT RENEWED

Business

N

Title

MD

First Name

KEN

Middle

JULIAN

Last Name

TAKEKOSHI

Business Name

KEN JULIAN TAKEKOSHI MD

Original Issue Date

07/27/2005

Effective Date

06/21/2017

Expiration Date

09/30/2020

State

MN

Ever Disciplined

N

LastModifiedDate

01/14/2021