KARL H TAKABAYASHI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061179

License Status

CANCELLED

Business

Title

First Name

KARL

Middle

Last Name

TAKABAYASHI

Business Name

KARL H TAKABAYASHI MD

Original Issue Date

07/07/2012

Effective Date

07/07/2012

Expiration Date

07/06/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014