Idaho
Division of Occupational and Professional Licenses
MICHAEL L TAKAGI
Board Of Medicine
License number
PAT-477
Date granted
05/08/2006
Date expires
09/01/2006
Class
Board Of Medicine
Status
Expired
Address
616 S 15TH CALDWELL ID 83605
idaholicensing.com
ID 48334507
LAST UPDATED 2024-02-11 00:56:47 UTC
LAST UPDATED 2024-02-11 00:56:47 UTC
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