REBECCA L TAKAHASHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104774

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

TAKAHASHI

Suffix

Business Name

REBECCA L TAKAHASHI MD

Original Issue Date

05/18/2001

Effective Date

05/18/2001

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006