KARL H TAKABAYASHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136754

License Status

NOT RENEWED

Business

Title

First Name

KARL

Middle

Last Name

TAKABAYASHI

Business Name

KARL H TAKABAYASHI MD

Original Issue Date

10/29/2014

Effective Date

10/29/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017