DANNY M TAKANISHI JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

DANNY M

TAKANISHI JR

MD

DANNY M TAKANISHI JR MD

07/28/1993

07/28/1993

07/31/2002

CHICAGO

IL

60637

COOK

II III IV V

N

10/09/2006