DARRELL T TAKEBAYASHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067979

License Status

NOT RENEWED

Business

First Name

DARRELL T

Last Name

TAKEBAYASHI

Suffix

Business Name

DARRELL T TAKEBAYASHI MD

Original Issue Date

11/16/1983

Effective Date

11/16/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006