Idaho
Division of Occupational and Professional Licenses
DONALD R. TAKUSH
Board Of Medicine
License number
M-3993
Date granted
07/20/1979
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
1765 NW Alta Vista Corvallis OR 97330
idaholicensing.com
ID 48335421
LAST UPDATED 2024-03-11 23:14:39 UTC
LAST UPDATED 2024-03-11 23:14:39 UTC
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