LUIS RAUL TAKAGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044661

License Status

NOT RENEWED

Business

First Name

LUIS RAUL

Last Name

TAKAGI

Suffix

Business Name

LUIS RAUL TAKAGI MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006