HARVEY S TAKAKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050171

License Status

NOT RENEWED

Business

First Name

HARVEY S

Last Name

TAKAKI

Suffix

Business Name

HARVEY S TAKAKI MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006