IPPEI TAKAGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126531

License Status

NOT RENEWED

Business

First Name

IPPEI

Last Name

TAKAGI

Suffix

Business Name

IPPEI TAKAGI MD

Original Issue Date

08/20/2010

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

VALPARAISO

State

Zip

46383

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014