CHRISTY A TAKEMOTO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046344

License Status

EXPIRED

Business

Title

First Name

CHRISTY

Middle

Last Name

TAKEMOTO

Business Name

CHRISTY A TAKEMOTO MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/03/2007