DARRELL T TAKEBAYASHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014352

License Status

EXPIRED

Business

First Name

DARRELL T

Last Name

TAKEBAYASHI

Suffix

Business Name

DARRELL T TAKEBAYASHI MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006