IPPEI TAKAGI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051254

License Status

CANCELLED

Business

First Name

IPPEI

Last Name

TAKAGI

Suffix

Business Name

IPPEI TAKAGI MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/06/2009