STEPHENIE MARIE TAKAHASHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122891

License Status

NOT RENEWED

Business

First Name

STEPHENIE

Middle

MARIE

Last Name

TAKAHASHI

Suffix

Business Name

STEPHENIE MARIE TAKAHASHI MD

Original Issue Date

03/20/2009

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

PENNSAUKEN

State

Zip

08109

Ever Disciplined

LastModifiedDate

08/19/2016