JAY A TAKATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084926

License Status

NOT RENEWED

Business

First Name

JAY A

Last Name

TAKATA

Suffix

Business Name

JAY A TAKATA MD

Original Issue Date

07/20/1992

Effective Date

07/20/1992

Expiration Date

07/31/1999

City

SAN ANTONIO

State

Zip

78253

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006