MICHAEL LUCIANO TAKAGI

Idaho  PA-790   Active

This Idaho license is held by MICHAEL LUCIANO TAKAGI. The license is currently active. It was granted on 02/04/2009

LICENSE DETAILS

  • License Number: PA-790
  • Category: Board Of Medicine
  • Status: Active
  • Date Granted: 02/04/2009 (about 15 years ago)

LOCATIONS

A Residential

P O BOX 562 CONDON OR 97823