REBECCA L TAKAHASHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037401

License Status

EXPIRED

Business

First Name

REBECCA

Middle

Last Name

TAKAHASHI

Suffix

Business Name

REBECCA L TAKAHASHI MD

Original Issue Date

04/29/1998

Effective Date

04/29/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006