License holder summary

MICHAEL LUCIANO TAKAGI is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL LUCIANO TAKAGI is P O BOX 562 CONDON OR 97823. This licensed professional license is current. The license was granted 02/04/2009.

Idaho

Division of Occupational and Professional Licenses

MICHAEL LUCIANO TAKAGI
Board Of Medicine
License number
PA-790
Date granted
02/04/2009
Class
Board Of Medicine
Status
Active
Address
P O BOX 562 CONDON OR 97823
idaholicensing.com
ID 48334504
LAST UPDATED 2024-05-01 19:41:47 UTC

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