License holder summary

MARK THOMAS TAKEO TAKAKI is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK THOMAS TAKEO TAKAKI is Direct Radiology, LLC Coeur D Alene ID 83814. This licensed professional license is current. The license was granted 06/26/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MARK THOMAS TAKEO TAKAKI
Board Of Medicine
License number
M-10002
Date granted
06/26/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Direct Radiology, LLC Coeur D Alene ID 83814
idaholicensing.com
ID 48335415
LAST UPDATED 2024-03-05 10:56:06 UTC

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