DAISUKE TAKEKOSHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123971

License Status

NOT RENEWED

Business

Title

First Name

DAISUKE

Last Name

TAKEKOSHI

Business Name

DAISUKE TAKEKOSHI MD

Original Issue Date

07/09/2009

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10128

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021