Idaho
Division of Occupational and Professional Licenses
KATSUMI TAKENO
Board Of Medicine
License number
AT-295
Date granted
10/30/2006
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
931 VANDAL DR MOSCOW ID 83843
idaholicensing.com
ID 48335417
LAST UPDATED 2024-02-27 16:33:31 UTC
LAST UPDATED 2024-02-27 16:33:31 UTC
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